fungus / Otomycosis
- Blockage
- Severe itching
- Pain
- Discharge
Aspergilla and Candida are common offending agent.
Various predisposing factors include a humid climate, presence of cerumen, instrumentation of the ear, increased use of topical antibiotics / steroid preparations, immunocompromised host, patients who have undergone open cavity mastoidectomy and those who wear hearing aids with occlusive ear mold
Treatment recommendations have included local debridement, local and systemic antifungal agents and discontinuation of topical antibiotics.