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喉曲菌病
引用本文:农辉图,李菊裳,黄光武,陈忠. 喉曲菌病[J]. 中华耳鼻咽喉头颈外科杂志, 1995, 0(2)
作者姓名:农辉图  李菊裳  黄光武  陈忠
作者单位:南宁广西医科大学第一附属医院耳鼻咽喉科,南宁广西医科大学皮肤科真菌室,广西医科大学病理学教研室
摘    要:喉曲菌病极为罕见。报告6例喉曲菌病,其临床特点是:①患者健康状况良好;②声嘶是唯一首发症状;③声带见白色附着物;④活检为化脓性、肉芽性及坏死性炎症,组织内见珊湖状分枝分隔菌丝及孢子;⑤真菌培养长出烟色曲菌菌落,镜检见分枝分隔菌丝及烧瓶样顶囊,顶生性小梗及孢子;⑥用酮康唑、或伊曲康唑治愈,经长期随访均无复发。讨论了病因,诊断及治疗问题。

关 键 词:喉疾病,曲霉菌病,药物疗法

Aspergillosis of the Larynx
Nong Huitu,Li Jushang, Huang Guangwu et al .. Aspergillosis of the Larynx[J]. Chinese journal of otorhinolaryngology head and neck surgery, 1995, 0(2)
Authors:Nong Huitu  Li Jushang   Huang Guangwu et al .
Affiliation:First Affiliated Hospital Guangxi Medical University Nanning 530021
Abstract:Aspergillosis of the larynx is extremely rare.Six cases of aspergillosis of the larynx were presented.Clinical characters of the patients were as follows:(1) their physical conditions were excel-lent;(2) Hoarsenes was the first symptom;(3) true vocal cord demonstrated white mass;(4)Biopsy of the lesion revealed suppurative, granulomatous and necrotic inflammation with hyphae and spore with in the tissue;(5) Culture of fungi displayed tobaco colour colonies of aspergillus. microscspic examina-tion demontrated spore and septate hyphae with coral-shape dichotomous banching and flask-shape vesi- cle with phialide and spore on top;(6) All patients were cured with Ketoconazol and ltraconazol without recurrence for long-term follow-up. Etiology, diagnosis and therapy of aspergillosis of the larynx were discussed.
Keywords:Laryngeal diseases Aspergillosis Drug therapy  
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