上顎洞真菌症の1例 : 微生物学的検討  [in Japanese] A case of mycosis of the maxillary sinus : a microbiological study  [in Japanese]

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Abstract

We studied growth and drug susceptibility of fungi and bacteria isolated from patients with mycosis of the maxillary sinus. In culture specimens from sinusitis dentalis suspected to be caused by mycosis, <I>Aspergillus fumigatus, Streptococcus constellatus, Peptostreptococcus anaerobius, Prevotella intermedia</I>, and <I>Prevotella</I> sp. were isolated. <I>A. fumigatus</I> blocked the growth of the other test organisms. MICs of amphotericin B, nystatin, miconazole, and bifonazole against <I>A. fumigatus</I> were low. However, MICs of griseofulvin, flucytosine, and fluconazole against <I>A. fumigatus</I> were high. <I>Pr. intermedia</I> and <I>Pr</I>. sp. were resistant to β-lactam antibiotics and produced β-lactamases.<BR>Our results suggest that maxillary sinus mycosis was triggered by an attack of sinusitis dentalis due to oral bacteria. Next, <I>A. fumigatus</I> invaded the lesion and held a dominant position in the resulting mycosis. When administering chemotherapy, attention should be paid not only to fungi and bacteria but also to sensitive fungi and bacteria and resistant strains.

Journal

  • Japanese Journal of Oral and Maxillofacial Surgery

    Japanese Journal of Oral and Maxillofacial Surgery 47(11), 703-706, 2001-11-20

    Japanese Society of Oral and Maxillofacial Surgeons

References:  19

Cited by:  1

Codes

  • NII Article ID (NAID)
    10009461154
  • NII NACSIS-CAT ID (NCID)
    AN00189163
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00215163
  • Data Source
    CJP  CJPref  J-STAGE 
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