DOI QR코드

DOI QR Code

One Case of Otomycosis with Chronic Suppurative Otitis Media Treated with Korean Medical Treatment

만성 화농성 중이염에 동반된 이진균증 환자 한방 치료 1례

  • Kim, Su-Yeong (Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University) ;
  • Ahn, Jae-Hyun (Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University) ;
  • Hwang, Mi-Lee (Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University) ;
  • Choi, Yoon-Young (Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University) ;
  • Byun, Jung-Ah (Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University) ;
  • Jung, Hyun-A (Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University)
  • 김수영 (대전대학교 한의과대학 한방안이비인후피부과교실) ;
  • 안재현 (대전대학교 한의과대학 한방안이비인후피부과교실) ;
  • 황미리 (대전대학교 한의과대학 한방안이비인후피부과교실) ;
  • 최윤영 (대전대학교 한의과대학 한방안이비인후피부과교실) ;
  • 변정아 (대전대학교 한의과대학 한방안이비인후피부과교실) ;
  • 정현아 (대전대학교 한의과대학 한방안이비인후피부과교실)
  • Received : 2021.06.28
  • Accepted : 2021.08.01
  • Published : 2021.08.25

Abstract

Objectives : Otomycosis is superficial fungal infection of external auditory canal accompanied with itching, pain, discharge, hearing loss, tinnitus and ear fullness. And chronic inflammation like chronic suppurative otitis media exacerbates otomycosis. The purpose of this study is to report one case of Korean medical treatment for otomycosis with chronic suppurative otitis media. Methods : This study was conducted with one case of otomycosis with chronic suppurative otitis media patient hospitalized in Ophthalmology, Otolaryngology & Dermatology Clinic of Korean medical Hospital. This patient was treated with Korean medical treatment including herbal medicine, acupuncture, pharmacopuncture and venesection. After the treatment, we took picture of external auditory canal by otoscope and evaluated subjective symptoms. Results : After the treatment, this patient had improved condition of external auditory canal and subjective symptoms. Conclusions : This study suggests that Korean medical treatment may be effective for otomycosis with chronic suppurative otitis media.

본 연구는 대전대학교 대전한방병원 한방안이비인후 피부과에 만성 화농성 중이염에 동반된 이진균증으로 입원 및 통원 치료를 받은 환자 1례를 보고한다. 본 증례의 환자는 상기 증상으로 한방 단독 치료를 시행한 환자로서 침, 약침, 전침, 뜸, 한약, 사혈, 습식 부항 및 한방 외용제 치료를 시행하였다. 초진 시 호소한 좌측 귀의 소양감, 통증, 이명, 충만감 및 농성 이루는 호전된 상태로 퇴원하였고, 이후 통원 치료를 통하여 잔여 증상의 호전 및 이진균증의 소실도 확인되었다. 본 연구는 이진균증 치료에 일차적으로 적용하는 항진균제의 사용 없이 한방 단독 치료로 호전을 보였다는 점과 항진균 효과를 위해 국소 한방 외용제를 사용하였다는 점에서 이후 이진균증의 한방 치료 효과를 평가하는 추가 연구에 유의미한 자료로 사용될 것으로 사료된다.

Keywords

References

  1. Gupta S, Mahajan B. Prevalance and demographical profile of patients presenting with otomycosis. JK Science. 2015;17(3): 138-42.
  2. Anwar K, Gohar MS. Otomycosis; clinical features, predisposing factors and treatment implications. Pakistan journal of medical sciences. 2014;30(3):564-7.
  3. Chan SK. Otitis media and sinusitis. Journal of the Korean Pediatric Society. 1997; 40(11):1501-7.
  4. Shin HS. A study on Fungi Isolated from External Auditory Ear of Partial Inhabitants in Taejon City. Korean Journal of Clinical Laboratory Science. 1992;31(2):65-74.
  5. Prasad SC, Kotigadde S, Shekhar M, Thada ND, Prabhu P, D'Souza T, et al. Primary otomycosis in the Indian subcontinent: predisposing factors, microbiology, and classification. International journal of microbiology. 2014;2014(1):265-73.
  6. Jung HA. Studying by Picture Otorhinolaryngology. 1st rev. Paju:Koonja. 2020: 73-6.
  7. Munguia R, Daniel SJ. Ototopical antifungals and otomycosis: a review. International journal of pediatric otorhi- nolaryngology. 2008;72(4):453-9. https://doi.org/10.1016/j.ijporl.2007.12.005
  8. Kwon KS. The Safety of Antifungal Agents. Korean journal of Medical Mycology. 2001;6(3):129-34.
  9. Choi EJ, Yun YH, Choi IH. A Case of Chronic Suppurative Otitis Media treated with Oriental medicine. J Korean Med Ophthalmol Otolaryngol Dermatol. 2012;2 (3):168-74. https://doi.org/10.6114/jkood.2012.25.3.168
  10. Lee HC, Park SY. A Case Report of Bell's palsy with Chronic suppurative otitis media treated with Korean Medicine. Herbal Formula Science. 2017;25(1):115-22. https://doi.org/10.14374/HFS.2017.25.1.115
  11. Munguia R, Daniel SJ. Ototopical antifungals and otomycosis: a review. International journal of pediatric otorhinolaryngology. 2008;72(4):453-9. https://doi.org/10.1016/j.ijporl.2007.12.005
  12. Ho T, Vrabec, JT, Yoo D, Coker NJ. Otomycosis: clinical features and treatment implications. Otolaryngology-Head and Neck Surgery. 2006;135(5):787-91. https://doi.org/10.1016/j.otohns.2006.07.008
  13. Jackman A, Ward R, April M, Bent J. Topical antibiotic induced otomycosis. International journal of pediatric otorhinolaryngology. 2005;69(6):857-60. https://doi.org/10.1016/j.ijporl.2005.01.022
  14. NO SS. Primary Color Ophthalmolog & Otorhinolaryngology. 3rd rev. ed. Seoul:IBC. 2013:447-57.
  15. Hwang DY. Bangyakhappyeon. Seoul: Younglimsa. 2002:239.
  16. Yang HJ, Han HS, Lee YJ. Effect of fermented Scutellariae radix extract on production of inflammatory mediator in LPS-stimulated mouse macrophages. The Korea Journal of Herbology. 2013;28(5): 45-52. https://doi.org/10.6116/kjh.2013.28.5.45
  17. Yoo HJ, Kim GJ. Analysis of Pharmacopuncture Used in Facial Nerve Palsy Articles that Published in the Journal of Korean Medicine. J Korean Med Ophthalmol Otolaryngol Dermatol. 2019;32 (3):105-15. https://doi.org/10.6114/JKOOD.2019.32.3.105
  18. Kim JW, Jeong HG, Lee JY, Kim KH, Kim TY, Lee TG, et al. Recent Clinical Research on Effect of Acupuncture on Sudden Hearing Loss. J Korean Med Ophthalmol Otolaryngol Dermatol. 2017;30(4):131-41. https://doi.org/10.6114/jkood.2017.30.4.141
  19. Kwon K, Kim CY, Lee DJ, Kim NK, SeoHS. The Case Report of Tinea Pedis with IdReaction. J Korean Med Ophthalmol Otolaryngol Dermatol. 2015;28(1):134-42. https://doi.org/10.6114/jkood.2015.28.1.134
  20. Kim YJ, Hwang GB, Seu YB. Antifungal activity of borneolum (Borneo-Camphor) from Dryobalanops aromatica against Malassezia furfur. Kor. J. Microbiol. Biotechnol. 2015;33(3):236-9.
  21. Yu SY, Lee YJ, Kang SN, Lee SK, Jang JY, Lee HK, et al. Analysis of food components of Carthamus Tinctorius L. seed and its antimicrobial activity. Korean Journal of Food Preservation. 2013;20(2):227-33. https://doi.org/10.11002/kjfp.2013.20.2.227
  22. Eum JS. Antimicrobial activity of Coptis chinensis and sophora flavescens against streptococcus mutans ATCC 25175. Journal of the Korea Institute of Information and Communication Engineering. 2012;16(2): 384-9. https://doi.org/10.6109/jkiice.2012.16.2.384
  23. Yoon BH, Park SJ, Shin BY, Jung JB, Shin JS, Jang YP, et al. Anti-inflammatory and Antinociceptive Properties of the Ethanolic Extract of Gleditsia sinensis and its Sub-fractions. Korean Journal of Pharmacognosy. 2011;42(4):317-22.
  24. Lee DY, Choi GY, Yoon TS, Cheon MS, Kim SJ, Yasukawa K, et al. Synergistic Effect of Notopterygium incisum and Saposhnikovia divaricata in the Anti-inflammatory Activity. The Korea Journal of Herbology. 2008;23 (4):39-44.
  25. Park OS, Kim HJ, Kim KS, Cha JH, Kim YB. Anti-inflammatory effect of alum to experimental paranasal sinusitis of rabbit. J Korean Med Ophthalmol Otolaryngol Dermatol. 2006;19(1):43-54.
  26. Choi KH, Yoo JG, Seo HS. The Experimental Study on Antifungal effects of mixture of Sophorae Subprostratae Radix, Acoti Radix, and Hibisci Syriaci Cortex by the Three Types of Extraction on three species of the dermatophytes. J Korean Med Ophthalmol Otolaryngol Dermatol. 2003;16(1):77-93.