Otomycosis

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

Otomycosis (also known as Singapore Ear) 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 finding

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. Per a study in Iran 10cc acetic acid 2% plus 90 cc of isopropyl alcohol 70% was effective.[5]

References

  1. ↑ "Otomycosis". Medical Dictionary. TheFreeDictionary.
  2. ↑ Kaur R, Mittal N, Kakkar M, Aggarwal AK, Mathur MD (August 2000). "Otomycosis: a clinicomycologic study". Ear Nose Throat J 79 (8): 606–9. PMID 10969470.
  3. ↑ 3.0 3.1 Munguia R, Daniel SJ (April 2008). "Ototopical antifungals and otomycosis: a review". Int. J. Pediatr. Otorhinolaryngol. 72 (4): 453–9. doi:10.1016/j.ijporl.2007.12.005. PMID 18279975.
  4. ↑ Vennewald I, Klemm E (March 2010). "Otomycosis: Diagnosis and treatment". Clin. Dermatol. 28 (2): 202–11. doi:10.1016/j.clindermatol.2009.12.003. PMID 20347664.
  5. ↑ Yaganeh Moghadam A, Asadi MA, Dehghani R, Zarei Mahmoudabadi A, Rayegan F, Hooshyar H, Khorshidi A (2010). "Evaluating the effect of a mixture of alcohol and acetic acid for otomycosis therapy" (PDF). Jundishapur J Microbiol 3 (2): 66–70.