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What Causes Otomycosis?

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Posted on Tue, 28 Apr 2015
Question: sinus pressure teeth ache nose runs clear guts hurt on the left side left ear has had a fungus for years feel horrible most of the time
had no period for a full year after the difulcan, and clobetasol; they are back now on a regular basis for the last 4 months
doctor
Answered by Dr. Shafi Ullah Khan (24 minutes later)
Brief Answer:
Otomycosis, needs management

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Fungal ear infections also called otomycosis can cause such symptoms. It can be a challenge as it recurs quite now and then.

Otomycosis is a chronic recurrent mycosis. The ear canal should be cleared of debris and discharge, as these lower the pH and reduces the activity of aminoglycoside ear drops (see separate article Otitis Externa and Painful, Discharging Ears). Suction can be used if available. Cleaning may be required several times a week. Analgesia is required. If there is an irritant or allergen it must be removed. Keep the ear dry and avoid scratching it with cotton wool buds. Avoid cotton wool plugs in the ear unless discharge is so profuse that it is required for cosmetic reasons. If used, keep them loose and change often.

Burow's solution or 5% aluminum acetate solution should be used to reduce the swelling and remove the debris. An aqueous solution of 1% thymol in metacresyl acetate, or iodochlorhydroxyquin should be considered if drying the ear does not work satisfactorily.

Antifungal ear drops are of value. There is no consensus on treatment but clotrimazole 1% ear drops (Canesten®) or flumetasone pivalate 0.02%, clioquinol 1% ear drops (Locorten–Vioform®) are commonly used.

Cleaning of the ear can represent a problem in the presence of a perforated eardrum and a specialist may need to be involved.

All other symptoms like sinus congestion and airways involvement are just the sequelae. Just talk to your otorhinolaryngologist and let them take care of your trouble.

I hope it helps. take good care of yourself and dont forget to close the discussion please.

Regards
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (19 minutes later)
I think i need a test for mycosis fungoides can you tell how or what test is used for diagnosing?
doctor
Answered by Dr. Shafi Ullah Khan (16 minutes later)
Brief Answer:
Not mycosis fungoides

Detailed Answer:
Thank you for getting back

Mycosis fungoides is least likely as that is a dermatological manifestation of a T cell lymphoma mostly and not your case. All you have is a resilient fungal infection which is diagnosed by mostly clinical picture with with otoscopy findings as well as culture of the discharge if any. Other workup like radiographs and scans like gallium scans etc are tailored to individual needs and done if necessary.

I hope it helps.
Regards
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (5 minutes later)
ok i shall seek a ear doctor thank you again you are awesome :)
doctor
Answered by Dr. Shafi Ullah Khan (1 minute later)
Brief Answer:
:)

Detailed Answer:
You are welcome !

:P
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Causes Otomycosis?

Brief Answer: Otomycosis, needs management Detailed Answer: Thank you for asking I read your question and i understand your concern. Fungal ear infections also called otomycosis can cause such symptoms. It can be a challenge as it recurs quite now and then. Otomycosis is a chronic recurrent mycosis. The ear canal should be cleared of debris and discharge, as these lower the pH and reduces the activity of aminoglycoside ear drops (see separate article Otitis Externa and Painful, Discharging Ears). Suction can be used if available. Cleaning may be required several times a week. Analgesia is required. If there is an irritant or allergen it must be removed. Keep the ear dry and avoid scratching it with cotton wool buds. Avoid cotton wool plugs in the ear unless discharge is so profuse that it is required for cosmetic reasons. If used, keep them loose and change often. Burow's solution or 5% aluminum acetate solution should be used to reduce the swelling and remove the debris. An aqueous solution of 1% thymol in metacresyl acetate, or iodochlorhydroxyquin should be considered if drying the ear does not work satisfactorily. Antifungal ear drops are of value. There is no consensus on treatment but clotrimazole 1% ear drops (Canesten®) or flumetasone pivalate 0.02%, clioquinol 1% ear drops (Locorten–Vioform®) are commonly used. Cleaning of the ear can represent a problem in the presence of a perforated eardrum and a specialist may need to be involved. All other symptoms like sinus congestion and airways involvement are just the sequelae. Just talk to your otorhinolaryngologist and let them take care of your trouble. I hope it helps. take good care of yourself and dont forget to close the discussion please. Regards Khan