A Case of Fungal Ball of Aspergillus in Chronic Otitis Media.
- Author:
Jong Hyung KIM
1
;
Chang Eun SONG
;
Beom Cho JUN
;
Dong Hee LEE
Author Information
1. Department of Otolaryngology-HNS, The Catholic University of Korea College of Medicine, Seoul, Korea. leedh0814@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Aspergillus;
Middle ear;
Suppurative otitis media
- MeSH:
Adult;
Aspergillus*;
Colon;
Ear;
Ear Canal;
Ear, Middle;
Humans;
Male;
Otitis Media*;
Otitis Media, Suppurative;
Otitis*;
Otomycosis;
Paranasal Sinuses;
Physical Examination;
Temporal Bone;
Tympanic Membrane;
Tympanoplasty
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2006;49(6):651-654
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fungal infections in the ear of immunocompetent patients are mainly observed as otomycosis within the external auditory canal. Benign fungal colonization (fungal ball), though they are common in the paranasal sinuses, has never been reported in the middle ear cavity of a healthy population. We present a case of fungal ball in the middle ear of a 30-year-old, immunocompetent male. He did not have any illness except chronic suppurative otitis media in the right ear. On physical examination, only small central perforation was seen in the right tympanic membrane. Temporal bone computed tomography did not reveal any abnormal finding except thickened tympanic membrane. Intraoperative examination demonstrated a dark gray, cheese-like material in the mesotympanum. After tympanoplasty, mycological staining and histopathologic examination identified the surgical sample to be Aspergillus. So we reported, with a review of literature, the first case of Aspergilloma occurring in the middle ear of a healthy patient.
