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OTOMYCOSIS

DR. JITENDRA. PATEL 20. New Jaganath, Rajkot Email : doctorjitendra@yahoo.com


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Otomycosis (Fungal Otitis Externa)


Introduction Etiology Pathology Symptoms Signs Treatment

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Introduction
-Rainy season

- Itching & Pain in Ear

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Etiology
1). Moisture 2). Antibiotic , steroid ear drops

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Pathology
1). Causative organism :

- Aspergillus Niger

- Candida Albicans

2). Invade deep layer of skin


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Symptoms

1. Itching

2. Pain

3. Otorhhoea

4. Deafness / Heaviness
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Signs
1.) Fungus seen in ear canal

- cotton like : (Candidiasis)

-Wet News Paper like -black specks : (Candidiasis) (Aspergillus niger)


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2.) Canal erythma.

Treatment
1). Local Treatment: 1. Total cleaning remove fungal debrish, - Remove epithelial debrish 2. Wick of Antifungal agent. - Clotrimazol: - Miconazol - Tolneftate - Salicylic acid - 2% Acetic acid - 1% Gentian violate 3. Water should not enter in the canal 4. Avoid steroid drops
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Treatment
1). Systemic Treatment: 1. Antibiotic 2. Analgesic 3. Antihistaminic

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