Otomycosis

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Otomycosis
Classification and external resources
Specialty Infectious disease
ICD-10 B36.9 (ILDS B36.920)
Patient UK Otomycosis

Otomycosis is a fungal ear infection,[1] a superficial mycotic infection of the outer ear canal. It is
more common in the tropical countries. The infection may be either subacute or acute and is
characterized by malodorous discharge, inflammation, pruritus, scaling, and severe discomfort.
The mycosis results in inflammation, superficial epithelial exfoliation, masses of debris
containing hyphae, suppuration, and pain.[2]

Clinical findings
The most characteristic finding on ear examination is the presence of greyish white thick debris
known as "wet blotting paper". Most fungal ear infections are caused by Aspergillus niger and
Candida albicans, but exceptions exist.[3][4]

Treatment
Otomycosis is treated by debridment followed with topical azole antifungals,[3] and
symptomatically managed with oral antihistamines.[citation needed] Per a study in Iran 10cc acetic
acid 2% plus 90 cc of isopropyl alcohol 70% was effective.[5]