Fungal Infections of the External Auditory Canal and Emerging Pathogens

Otolaryngol Clin North Am. 2023 Oct;56(5):909-918. doi: 10.1016/j.otc.2023.06.010. Epub 2023 Aug 7.

Abstract

Fungal infections of the external auditory canal can range from common (otomycosis) to life threatening (necrotizing otitis externa). Proper identification of fungal pathogens is necessary to guide appropriate therapy, and a high index of suspicion for fungal causes of ear canal disease is critical. Fungal pathogens may be an especially important cause of ear canal disease in certain populations, including patients with diabetes, patients recently treated with antibiotics, and immunosuppressed patients. Opportunistic fungal infections of the ear canal are an emerging concern.

Keywords: Fungal otitis externa; Malignant otitis externa; Necrotizing otitis externa; Otomycosis.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents
  • Ear Canal
  • Ear Diseases*
  • Humans
  • Mycoses* / complications
  • Mycoses* / diagnosis
  • Mycoses* / therapy
  • Otitis Externa* / diagnosis
  • Otitis Externa* / etiology
  • Otitis Externa* / therapy

Substances

  • Anti-Bacterial Agents