A Concomitant Allergic Fungal Otomastoiditis with an Allergic Fungal Rhinosinusitis

Advances in Computing Research Pub Date : 2020-09-25 DOI:10.47496/nl.acr.2020.01.03

Vandersteen Clair, J. Pradelli, G. D'andrea, E. Lantéri, L. Tardivet, C. Savoldelli, N. Guevara

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Abstract

Background: Allergic fungal otomastoiditis is a rare ear condition characterized by the presence of a specific middle ear mucus usually found in allergic bronchopulmonary aspergillosis. Methods: We report a case of concomitant allergic fungal otomastoiditis and rhinosinusitis in an immunocompetent 27-year-old man complaining of right otorrhea and nasal discharge for 6 months resistant to any medical treatment. Examination revealed a sticky mucus arising from a polypoid middle ear associated with a right middle meatus purulent discharge. Surgical treatment revealed no cholesteatoma but thick yellowish mucus and a fungal ball, as targeted by imaging, both of which containing Aspergillus species. Result: The patient received short postoperative systemic corticotherapy and showed no recurrence 6 months after. Discussion: Allergic fungal otomastoidis should be considered in the face of a sticky mucus arising from perforated chronic otitis, especially when associated with allergic fungal rhinosinusitis. Complete surgical debridement is essential. © 2020 Clair Vandersteen. Published by Nature Library Ltd. All rights reserved

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过敏性真菌耳乳突炎伴发过敏性真菌鼻鼻窦炎

背景:变应性真菌性耳乳突炎是一种罕见的耳部疾病，其特征是存在一种特殊的中耳粘液，通常在过敏性支气管肺曲霉病中发现。方法:我们报告一例伴有过敏性真菌耳乳突炎和鼻鼻窦炎的27岁男性免疫功能正常，主诉右耳漏和鼻分泌物6个月，对任何药物治疗都无效。检查发现中耳息肉样粘液伴右中耳脓性分泌物。手术治疗未发现胆脂瘤，但有粘稠的黄色粘液和真菌球，这两者都含有曲霉菌。结果:患者术后接受短期全身皮质治疗，6个月后无复发。讨论:面对穿孔性慢性中耳炎引起的黏液，应考虑过敏性真菌性耳乳突炎，特别是当与过敏性真菌性鼻窦炎相关时。完全的手术清创是必要的。©2020 claire Vandersteen。自然图书馆有限公司出版。版权所有

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Advances in Computing Research

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