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  Patronage of the Polish Society of Audiology and Phoniatrics




vol 6. no 3. September 2007  
 TABLE OF CONTENT

 Original articles
Fungal infections with otolaryngological diseases patients
Agnieszka Morawska, Karolina Hydzik-Sobocińska, Maciej Wiatr, Jacek Składzień, Urszula Pradel

Introduction. Over the last decade there has been an increase in frequency of fungal infections, also in the otolaryngological organs, resulting in a serious clinical problem. The clinical picture of the fungal infections varies widely, from mild inflammatory symptoms to severe infections with occipital and intracranial complications.
Aim. Mycological analysis of the material collected from different organs of the patients treated in the Otolaryngology Clinic in Cracow.
Matherial and methods. The study group consisted of the 372 hospitalized and ambulatory patients referred to the clinic for suspected fungal infection within their otolaryngological organs since 2003 till 2006. Material for mycological and bacteriological examinations was collected from all subjects.
Results. Positive results confirming the fungal character of the infection were noted in 197 cases, representing 48% of all patients referred for the examinations. Candida was isolated in 85% cases; Aspergillus in 15% collected samples. Relatively frequent were mixed (bacterial/fungal) infections.
Conclusions. Candida species continues to be the most frequent cause of fungal infections in the otolaryngological organs. The choice of optimal treatment should be based on identification of the pathogen, inflammation severity, patient's general condition and should take into consideration the toxicity of antifungal drugs.


keywords: górne drogi oddechowe, ucho, grzyby, aspergiloza, kandydoza, upper respiratory tract, ear, fungal infection, aspergillosis, candidosis

pages: from 142 to 146



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