- 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
- More common in tropical/subtropical countries.
- Common causes: Aspergillus niger and Candida albicans
- Risk factors:
- Recent use of topical otic antibiotics
- Topical or systemic steroids
- Hearing aid use
- Local trauma
- Similar to otitis externa, but with more itching than pain
- Characteristic appearance on exam - appears like "mold growing on spoiled food"
- Hearing loss
- Auricular hematoma
- Auricular perichondritis
- Contact dermatitis
- Ear foreign body
- Herpes zoster oticus (Ramsay Hunt syndrome)
- Malignant otitis externa
- Otitis externa
- Tympanic membrane rupture
- Clinical diagnosis, based on history and physical examination
- Aural hygiene
- Topical antifungal
- Add PO antifungal treatment if poor response to topical treatment or severe disease
- 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.