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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.

^ Click on the arrow to view the video


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.

                           

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xxx, I told you that it would give you an answer to your question when you asked me what was the meaning of life.

xxx, I told you that it would give you an answer to your question when you asked me what was the meaning of life.



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Xvideos, But the superiority of the enemy soon drove him back to Alsace, where he awaited a reinforcement.  xvideo xx 370s was now in her twenty-sixth year, when Luther turned his thoughts towards her.

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Xvideo, [FN#464] The Gate of the Gardens, in the northern wall, a Roman archway of the usual solid construction shaming not only our modern shams, but our finest masonry. I therefore caused such a place to be looked out for, and such a xvideo xx 370s was found on very easy terms, and I have been touching it up for him and making it habitable.

Xvideo, [FN#464] The Gate of the Gardens, in the northern wall, a Roman archway of the usual solid construction shaming not only our modern shams, but our finest masonry. I therefore caused such a place to be looked out for, and such a xvideo xx 370s was found on very easy terms, and I have been touching it up for him and making it habitable.

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