In the presence of arbitrary three-dimensional linear media with material loss and amplification, we present an electromagnetic field quantization scheme for quasinormal modes (QNMs), extending previous work for lossy media [Franke et al., Phys. Rev. Lett. 122, 213901 (2019)]. Applying a symmetrization transformation, we show two fundamentally different ways for constructing a QNM photon Fock space, including (i) where there is a separate operator basis for both gain and loss, and (ii) where the loss and gain degrees of freedom are combined into a single basis. These QNM operator bases are subsequently used to derive the associated QNM master equations, including the interaction with a quantum emitter, modelled as a quantized two-level system (TLS). We then compare the two different quantization approaches, and also show how commonly used phenomenological methods to quantize light in gain-loss resonators are corrected by several important aspects, such as a loss-induced and gain-induced intermode coupling, which appears through the rigorous treatment of loss and amplification on a dissipative mode level. For specific resonator designs, modelled in a fully consistent way with the classical Maxwell equations with open boundary conditions, we then present numerical results for the quantum parameters and observables of a TLS weakly interacting with the medium-assisted field in a gain-loss microdisk resonator system, and discuss the validity of the different quantization approaches for several gain-loss parameter regimes.
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