Otomycosis

Otomycosis
Classification and external resources
Specialty	infectious disease
ICD-10	B36.9 (ILDS B36.920)
Patient UK	Otomycosis
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Otomycosis is a fungal ear infection, a superficial mycotic infection of the outer ear canal. It is more common in the tropical countries. The infection may be either subacute or acute and is characterized by malodorous discharge, inflammation, pruritus, scaling, and severe discomfort , suppuration can occur due to superimposed bacterial infection commonly due to pseudomonas species and proteus species. The mycosis results in inflammation, superficial epithelial exfoliation, masses of debris containing hyphae, suppuration, and pain.

The most common finding on ear examination is the presence of greyish white thick debris.

Most fungal ear infections are caused by Aspergillus niger,Aspergillus fumigatus , Penicillium and Candida albicans, but exceptions exist.

Otomycosis is treated by debridment followed with topical azole antifungals, and symptomatically managed with oral antihistamines. Per a study in Iran 10cc acetic acid 2% plus 90 cc of isopropyl alcohol 70% was effective.

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