Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
증례
악관절에서의 조직 검사로 원인균이 확인된 진균성 악성외이도염 1예
박계훈1,*
A Case of Fungal Malignant Otitis Externa Confirmed by Biopsy at Temporomandibular Joint
Kye Hoon Park1,*
1순천향대학교 의과대학 천안병원 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea
*교신저자: 박계훈, 31151충남 천안시 동남구 순천향 6길 31 순천향대학교 의과대학 천안병원 이비인후과학교실 전화:(041) 570-2265·전송: (041) 579-9022 E-mail:
earpark@gmail.com
© Copyright 2018 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: Jan 02, 2018; Revised: Mar 16, 2018; Accepted: Apr 17, 2018
Published Online: May 31, 2020
ABSTRACT
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)
Keywords: 악성외이도염; 악관절; 아스페르길루스
Keywords: Malignant external otitis; Temporomandibular joint; Aspergillus
