Module 9 Part 2 Otitis Externa – Otomycosis

Question 1

Question

Answer 1

Answer

Question 2

What are the probable organisms in cases of otomycosis (fungal ear infection)?

Answer 2

The probable organisms are Candida albicans and Aspergillus niger.

Question 3

What are the first-line antifungal choices for treating otomycosis?

Answer 3

First-line antifungal choices include clotrimazole 1% cream, tolnaftate 1% cream, and Locacorten Vioform ear drops. These should be applied twice daily.

Question 4

When should you consider secondary treatment for otomycosis, and what agent might be used?

Answer 4

Consider secondary treatment if there is no response with clotrimazole or tolnaftate cream after 1 to 3 weeks. In such cases, Aspergillus niger is considered a possible cause, and you may use antifungal agents like ketoconazole or itraconazole.

Question 5

What factors should be considered in the management of otomycosis, and what is important in the initial treatment?

Answer 5

In the management of otomycosis, factors such as the patient’s response, the specific fungal pathogen, and any complicating factors like bacterial superinfection should be considered. In the initial treatment, proper cleaning and drying of the ear canal are important to create an environment unfavorable for fungal growth.