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Otomycosis, Causes/Risk factors, Signs and Symptoms, Investigations/Diagnosis, Management, Complications

OTOMYCOSIS is a Fungal infection of the external auditory canal.

Otomycosis involving the auditory canal - medtube.net

CAUSES OF OTOMYCOSIS

  • Aspergellus fumigatus
  • Candida albicans
  • Aspergellus niger
  • Pencillium
  • Overuse of antibacterial ear drops which may lead to suppression of normal bacterial flora in ear canal, giving way to fungal infection.

RISK FACTORS

  • Swimming or surfing in contaminated water
  • Tropical and warm regions can influence otomycosis
  • People with weak immune system

SIGNS AND SYMPTOMS

  • Severe pain
  • Tragal tenderness
  • The appearance of the fungus may be white, gray or black depending on the causative organism
  • Itching
  • Inflammation
  • Ringing in the ears
  • Feeling of fullness in the ears
  • Discharge from the ear may be present

INVESTIGATIONS/DIAGNOSIS

  • Microbial culturee
  • Full blood count
  • Medical history
  • Physical examination

MANAGEMENT

  • Removal/cleaning of the fungus
  • Topical antifungals or ear drops
  • Antihistamines
  • Analgesics
  • Educate the patient on the proper use of the medication
  • Review patient to ascertain progress of treatment
  • To avoid reinfection educate patient to wear swim cap or ear plugs when swimming or surfing

COMPLICATIONS OF OTOMYCOSIS

  • Hearing loss
  • Tympanic membrane perforation
  • Invasive temporal infection

 

 

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