External otitis: Fungal

History:
This is a 60 year old gentleman who presents with itching in his ear and decreased hearing. He has problems with cerumen and frequently has his ear irrigated. After the last irrigation, one month ago, he noticed weeping and drainage from his ear. Now the plugging and severe pruritis are his chief complaints.

Examination:
The canal is completely filled with a whitish debris. This can be wet or sometimes dry and airy. It has the appearance of mold.

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History:
The above set of pictures are from a patient that had chronic ear drainage for many years. She has a candida infection with chronic itching.

Information: Fungus is frequently the cause of inflammatory external otitis.Fungal infection: An infection in which fungi grow in the canal causing superficial redness of the bony canal wall skin with musty smelling exudate and powdery appearing debris (fungal mycelia). Moisture and immunosuppresion increase the incidence of this otitis.
Commonly due to the Aspergillus species, a saprophytic fungus that forms a grayish (Aspergillus fumigatus) blotting paper membrane covered with black spores (Aspergillus niger). May also appear white (Candida albicans) or yellow (Aspergillus flavus). Upon suction removal the underlying tympanic membrane appears injected, edematous, and denuded of epithelium. Adequate suctioning of the ear canal is necessary for therapy and prevention. Topical antifungal drops, acidifying drops, or antifungal powders are frequently used. This condition becomes chronic if not completely treated.

Height Weight
Normal Overweight Obesity Severe obesity
4ft 10"
(58")
91 to 115 lbs. 119 to 138 lbs. 143 to 186 lbs. 191 to 258 lbs.
4ft 11"
(59")
94 to 119 lbs. 124 to 143 lbs. 148 to 193 lbs. 198 to 267 lbs.
5ft
(60")
97 to 123 lbs. 128 to 148 lbs. 153 to 199 lbs. 204 to 276 lbs.
5ft 1"
(61")
100 to 127 lbs. 132 to 153 lbs. 158 to 206 lbs. 211 to 285 lbs.
5ft 2"
(62")
104 to 131 lbs. 136 to 158 lbs. 164 to 213 lbs. 218 to 295 lbs.
5ft 3"
(63")
107 to 135 lbs. 141 to 163 lbs. 169 to 220 lbs. 225 to 304 lbs.
5ft 4"
(64")
110 to 140 lbs. 145 to 169 lbs. 174 to 227 lbs. 232 to 314 lbs.
5ft 5"
(65")
114 to 144 lbs. 150 to 174 lbs. 180 to 234 lbs. 240 to 324 lbs.
5ft 6"
(66")
118 to 148 lbs. 155 to 179 lbs. 186 to 241 lbs. 247 to 334 lbs.
5ft 7"
(67")
121 to 153 lbs. 159 to 185 lbs. 191 to 249 lbs. 255 to 344 lbs.
5ft 8"
(68")
125 to 158 lbs. 164 to 190 lbs. 197 to 256 lbs. 262 to 354 lbs.
5ft 9"
(69")
128 to 162 lbs. 169 to 196 lbs. 203 to 263 lbs. 270 to 365 lbs.
5ft 10"
(70")
132 to 167 lbs. 174 to 202 lbs. 209 to 271 lbs. 278 to 376 lbs.
5ft 11"
(71")
136 to 172 lbs. 179 to 208 lbs. 215 to 279 lbs. 286 to 386 lbs.
6ft
(72")
140 to 177 lbs. 184 to 213 lbs. 221 to 287 lbs. 294 to 397 lbs.
6ft 1"
(73")
144 to 182 lbs. 189 to 219 lbs. 227 to 295 lbs. 302 to 408 lbs.
6ft 2"
(74")
148 to 186 lbs. 194 to 225 lbs. 233 to 303 lbs. 311 to 420 lbs.
6ft 3"
(75")
152 to 192 lbs. 200 to 232 lbs. 240 to 311 lbs. 319 to 431 lbs.
6ft 4"
(76")
156 to 197 lbs. 205 to 238 lbs. 246 to 320 lbs. 328 to 443 lbs.
BMI 19 to 24 25 to 29 30 to 39 40 to 54
jeffm8 Jun 27
Replying to @reckoner80 @IvyZied
Maybe you should seek some professional help?

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