Definition

Fungal infection of ear canal that often occurs due to Aspergillusniger, A. Fumigatus or Candida albicans.

Etiology

•           Common in hot, humid climates.

•           Secondary to prolonged treatment with topical antibiotics.

•           Diabetes and immune compromised state.

Clinical Features

•           Black, grey, green, yellow or white discharge with debris and musty odour

•           Intense itching/discomfort

•           Ear blockage

•           EAC-Congested,ulcerated and the fungal mass seen.

Investigations

Blood sugar to rule out DM.

Management

•           Toilet and removal of debris.

•           Topical anti-fungal ear drops: Clotrimazole and Ketoconazole.

•           2% salicyclic acid in alcohol is a keratolytic agent.

•           Keepeardry.