악관절에서의 조직 검사로 원인균이 확인된 진균성 악성외이도염 1예

Malignant otitis externa (MOE) is a potentially life-threatening infection of the external auditory canal, surrounding soft tissues, cranial nerves, and adjacent skull base. Pseudomonas aeruginosa is the most common involved pathogen. However, the lack of definitive bacterial cultures and inadequate responses to antipseudomonal therapy should raise the possibility of fungal infection. We have recently encountered a rare case in which causative pathogen was aspergillus confirmed by biopsy at temporomandibular joint under local anesthesia. The patient was much improved following voriconazole treatment. Herein, we report the case with a review of the literature. (J Clinical Otolaryngol 2018;29:72-77)