View source for Otomycosis

==Background==
*Also known as fungal otitis externa or "Singapore Ear"
*A superficial [[fungal infection]] of the outer ear canal
*Found in 9% of [[otitis externa]] cases, and as many as 30.4% of cases of symptoms of otitis<ref name="Munguia">Munguia R, Daniel SJ. Ototopical antifungals and otomycosis: a review. Int J Pediatr Otorhinolaryngol. 2008 Apr;72(4):453-9. doi: 10.1016/j.ijporl.2007.12.005. Epub 2008 Feb 14.</ref>
*More common in tropical/subtropical countries. 
*Common causes: ''[[Aspergillus]] niger'' and ''[[Candida albicans]]''<ref name="Munguia" />
*Risk factors:
**Recent use of topical otic [[antibiotics]]
**Topical or systemic [[steroids]]
**Hearing aid use
**[[Pregnancy]]
**Local [[facial trauma|trauma]]

==Clinical Features==
*Similar to [[otitis externa]], but with more itching than pain
*Characteristic appearance on exam - appears like "mold growing on spoiled food"
*[[Otalgia]]
*Otorrhea
*[[Hearing loss]]
*[[Pruritus]]
*[[Tinnitus]]

==Differential Diagnosis==
{{Ear DDX}}

==Evaluation==
*Clinical diagnosis, based on history and physical examination

==Management==
#Aural hygiene
#Topical [[antifungal]]
#*[[Clotrimazole]] - most effective agent (also has some antibacterial effect)
#*[[Ketoconazole]]
#*[[Fluconazole]]
#*[[Nystatin]]
#Add PO antifungal treatment if poor response to topical treatment or severe disease

==Disposition==
*Discharge

==See Also==
*[[Fungal infections]]
*[[Ear diagnoses]]

==External Links==


==References==
<references/>

[[Category:ENT]]
[[Category:ID]]