Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

혈액투석 환자에서 발생한 진균성 악성 외이도염 1예

조헌포1, 이신원2, 김성희1, 임은정1,*
Hun Po Cho1, Shin Won Lee2, Sung Hee Kim1, Eun Jung Lim1,*
1대구파티마병원 이비인후과
1Department of Otolaryngology-Head and Neck Surgery, Daegu, Korea
2Internal Medicine, Daegu Fatima Hospital, Daegu, Korea
*교신저자: 임은정, 701-600 대구광역시 동구 아양로 99 대구 파티마병원 이비인후과 전화: (053) 940-7352· 전송: (053) 954-7417 E-mail:

© Copyright 2013 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 ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Jan 10, 2013; Revised: Feb 01, 2013; Accepted: Mar 07, 2013

Published Online: May 31, 2020


Malignant otitis externa (MOE) is an aggressive and fatal disease that can spread along the soft tissues and skull base. In most case, it is caused by Pseudomonas aeruginosa, and fungus is rarely involved. The clinical feature of fungal MOE is very similar to that caused by bacteria, and the diagnosis is only confirmed by deep tissue biopsy, not by swab culture. Therefore, the diagnosis is often difficult to establish. In individuals who initially do well on antimicrobial therapy but subsequently recrudesce or who are unresponsive to appropriate antimicrobial treatment, clinician’s suspicion of fungal MOE is important not to delay the definite treatment. We experienced a case of 70-year-old man on hemodialysis treatment, who had severe right otalgia and headache for several weeks. He initially did well on antimicrobial treatment but subsequently experienced recrudescence. Through deep tissue biopsy, he was diagnosed as fungal MOE. (J Clinical Otolaryngol 2013;24:94–99)

Keywords: 아스페르길루스; 혈액투석; 골수염; 외이도염
Keywords: Aspergillus; Fungi; Hemodialysis; Osteomyelitis; Otitis externa