OTOMYCOSES Fungal EAC Infections - Queensland Otology · An exuberent fungal growth in the EAC,...
Transcript of OTOMYCOSES Fungal EAC Infections - Queensland Otology · An exuberent fungal growth in the EAC,...
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OTOMYCOSES Fungal EAC Infections
© Bruce Black MD
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Saprophytic fungal growth on cerumenous debris. Routine cleaning only.
© Bruce Black MD
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Fine downy saprophytic mycelium in EAC waxy debris.
© Bruce Black MD
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Saprophytic fungus coating deep canal debris.
© Bruce Black MD
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An exuberent fungal growth in the EAC, Deep canal status uncertain.
© Bruce Black MD
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Fine fungal mycelium coating debris in the deep canal, in a chronic otitis case. Possible pathogenic infection pending.
© Bruce Black MD
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Prolific EAC fungal mass in a case of chronic otitis media, but without evident pathological effects.
© Bruce Black MD
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Aspergillus nigra otomycosis, displaying the typical chocolate-coloured spoors. Pruritis is common, but pain indicates ulceration or drum perforation. Treat promptly. © Bruce Black MD
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Prolific spore formation in aspergillus nigra otomycosis. Manage with thorough suction and wet mopping, then
topical antifungals (clotrimazole drops for 2/52). © Bruce Black MD
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Dark spores and white mycelium of A. nigra. Pruritis, blockage and deafness for some weeks. Perhaps 10% of
cases suffer drum perforation, most temporary. © Bruce Black MD
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A mass of aspergillus mycelium evacuated en mass by suction toilet.
© Bruce Black MD
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Aspergillus fumigans. The discoloured “wet blotting paper” debris fills the deep canal. May be virulent, similar to a.
nigra. © Bruce Black MD
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Aspergillus flavum otomycosis, with the typical yellow spores of this variety.
© Bruce Black MD
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Early a. flavum infection of the left EAC.
© Bruce Black MD
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Profuse aspergillus flavum overgrowth, right EAC. A. flavum tends to be less virulent than a. nigra. Treatment is similar.
© Bruce Black MD
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Characteristic yellow spores and white mycelium of a. flavum. Early ulcerative foci on the anterior canal wall.
© Bruce Black MD
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Mixed A. nigra and A. flavum otomycosis.
© Bruce Black MD
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Mixed fungal and cerumenous debris filling the deep EAC.
© Bruce Black MD
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Creamy debris filling the EAC. Pruritis and blockage. candida albicans otomycosis.
© Bruce Black MD
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Candida debris on the drum and canal wall. Clean thoroughly and treat with clotrimazole cream or lotion drops.
© Bruce Black MD
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A mas of creamy candida debris lodged in the anterior angle. Suction toilet and topical antifungal application.
© Bruce Black MD
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An unusual case of a candida albicans middle ear otomycosis, managed by drainage and systemic
antifungals. © Bruce Black MD