Otomycosis
Background
- Also known as "Singapore Ear"
- A superficial fungal infection of the outer ear canal
- More common the tropical countries.
Etiology.[1]
Clinical Features
- Similar to otitis externa, but with more itching than pain
- Characteristic appearance on exam; like mold growing on spoiled food
- Malodorous discharge, inflammation, pruritus, scaling, and severe discomfort
- Greyish white thick debris "wet blotting paper"
Differential Diagnosis
Ear Diagnoses
External
- Auricular hematoma
- Auricular perichondritis
- Cholesteatoma
- Contact dermatitis
- Ear foreign body
- Herpes zoster oticus (Ramsay Hunt syndrome)
- Malignant otitis externa
- Otitis externa
- Otomycosis
- Tympanic membrane rupture
Internal
- Acute otitis media
- Chronic otitis media
- Mastoiditis
Inner/vestibular
Diagnosis
Management
- Cleaning of ear canal (debridment)
- Topical antifungal
Disposition
See Also
External Links
Sources
- ↑ Vennewald "Otomycosis: Diagnosis and treatment" Clin. Dermatol. 28(2);202–11 March 2010