원저

진균구 60예의 임상적 분석

김범규1, 권삼현1,*, 김창현1
Beom Kyu Kim1, Sam Hyun Kwon1,*, Chang Hyun Kim1
Author Information & Copyright
1전북대학교 의과대학 이비인후과학교실
1Department of Otorhinolaryngology, College of Medicine, Chonbuk National University, Jeonju, Korea
*교신저자: 권삼현, 561-712 전주시 덕진구 금암동 634-18 전북대학교 의과대학 이비인후과학교실 전화: (063) 250-1980·전송: (063) 250-1986 E-mail: shkwon@chonbuk.moak.ac.kr

© Copyright 2003 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 18, 2002; Accepted: Mar 06, 2003

Published Online: May 31, 2020

ABSTRACT

Background and objectives: The mycotic infections of the paranasal sinuses are relatively rare, but their incidence tend to increase with frequent use of antibiotics, anticancer drugs, steroids and radiation or prolonged survival of chronically debilitated patients. In this study, we aimed to investigate the clinical and radiological characteristics of mycetoma. Materials and Methods: We reviewed 60 patients with mycetoma diagnosed by clinical examination, nasal endoscopy and computerized tomography during past 8 years from January 1992 to December 1999. This review focused on the preoperative clinical complaints and radiologic findings. Results: There were 34 male and 26 female patients and the patients ranged in age from 15 to 70 years, with a mean of 47 years. The patients reported nasal obstruction (72%), purulent rhinorrhea (62%), and facial pain or headache (52%) at presentation. The radiologic findings were hazziness, calcification and bone destruction of the involved sinus or sinuses. Preoperative computerized tomograms revealed mottled calcific densities within the involved sinuses in 55% of cases. Conclusion: Sixty cases of mycetoma were presented with respect to their clinical and radiologic features. Pertinent parameters of paranasal sinus fungal infection in adults which enhance the index of suspicion are chief complaints such as facial pain or headache and calcification on CT scan. (J Clinical Otolaryngol 2003;14:70–75)

Keywords: 진균증; 부비동염; 전산화 단층 촬영
Keywords: Fungi; Sinusitis; Computed Tomogram