Fungal infections of ears

Otomycosis is a fungal infection of the external ear canal. It’s sometimes called “fungal otitis externa.” It’s more common in warm, humid environments and often affects people who swim frequently or use ear drops or hearing aids that trap moisture.

Causes

• Most often caused by fungi like Aspergillus or Candida species.

• Moisture and warmth in the ear canal create a good environment for fungal growth.

  
  

Symptoms

• Itching in the ear (often intense)

• Discomfort or pain

• Ear discharge (often thick, white, black, or yellow)

• A feeling of fullness or blockage in the ear

• Decreased hearing

• Sometimes a foul odor

Diagnosis

Usually diagnosed via:

• Visual inspection with an otoscope

• Microscopic examination or fungal culture (if needed)
  

Treatment

• Cleaning the ear canal (very important—removes debris and fungus)

• Topical ear drops 

• In some cases, a short course of oral antifungals

• Avoid moisture in the ear during treatment
  

Prevention Tips

• Keep ears dry (especially after swimming or showering)

• Avoid overuse of ear drops unless prescribed

• Don’t insert objects like cotton swabs into your ears

• Use ear protection in water if you're prone to infections

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