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颞骨耳源性真菌感染罕见,诊断常有争议,文献中 仅8例报道。本文1例系61岁糖尿病患者,因持续性耳痛及耳前肿痛而误按坏死性外耳道炎(NEO)治疗。后疑有恶性肿瘤行探查性腮腺浅叶切除及改良乳突根治手术及以后多次行修正性耳遭成形术和面神经减医术。手术标本多次培养均为黄曲菌及念珠菌,病检为慢性炎症。后经两性霉素B静脉注射治愈,总量为3克。
Temporal bone otogenic fungal infections rare, the diagnosis is often controversial, only eight cases reported in the literature. This article, a case of 61-year-old diabetic patients, due to persistent earache and ear pain and mistakenly press necrotizing otitis media (NEO) treatment. Suspected malignant tumor after probing the parotid gland lobectomy and modified mastoidectomy and multiple line revision otoplasty and facial nerve reduction surgery. Surgical specimens were cultured for many times as yellow aspergillus and Candida, the disease was chronic inflammation. After amphotericin B intravenous injection, the total amount of 3 grams.