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D. Acute otitis externa

D1. Introduction & Clinical features

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μ™Έμ΄λ„μ˜ μ™Έμƒμ΄λ‚˜ 감염에 μ˜ν•΄μ„œ μž˜μƒκΈ΄λ‹€
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7~12μ„Έ, 여름철 호발 (swimming ear)
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악성외이도염은 외이도에 μƒκΈ°λŠ” κ³¨μˆ˜μ—ΌμœΌλ‘œ 38.9℃ μ΄μƒμ˜ κ³ μ—΄κ³Ό μ‹¬ν•œ 톡증, μ•ˆλ©΄λ§ˆλΉ„λ‚˜ μˆ˜λ§‰μ¦μƒ μžˆμ„ λ•Œ μ˜μ‹¬ν•  ν•„μš” 있음
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ν”ν•œ 원인균은 Pseudomonas aeruginosa, S. aureus, polymicrobial infection이 흔함

D2. Diagnosis

D3. Treatment

(1) Fluoroquinolone topical drop을 ν•˜λ£¨μ— 2~4회 μ‹œν–‰ν•œλ‹€. (2) κ°€λ²Όμš΄ 경우 2% μ•„μ„ΈνŠΈμ‚°μ„ 점이할 수 있으며 κ³ λ§‰μ²œκ³΅μ΄ 있으면 κΈˆκΈ°μ΄λ‹€ (3) Uncomplicated caseμ—μ„œλŠ” Systemic antibiotics μ‚¬μš©μ€ ν•„μš”ν•˜μ§€ μ•Šλ‹€. ν•­μƒμ œλŠ” λ©΄μ—­ μ–΅μ œ λ“±μ˜ μš”μΈμ΄ μžˆκ±°λ‚˜ Ear canal λ°–μœΌλ‘œ μ§„ν–‰λœ κ²½μš°μ— κ³ λ €ν•œλ‹€. (4) μΉ˜λ£Œκ°€ μ‹€νŒ¨ν–ˆλ‹€λ©΄ 48~72μ‹œκ°„λ‚΄μ— μž¬κ²€ν•˜κ³  λ‹€λ₯Έ 진단을 κ³ λ €ν•œλ‹€.