Otomycosis

Features

• Intense itching in ear canal with pain in ear.
• White filter paper like debris or blackish debris in ear canal.

Management

• Dry mopping of ear with sterile cotton wick.
• Kenacomb / Xecomb ear drops drops 2 drops thrice daily for 5 days.
• Tab- Brufen I Inflamatax (Ibuprofen / Flurbiprofen) 400 mg PO x TD S for 5 days.

ACUTE SUPPORTIVE OTIIS MEDIA

• Severe pain in ear, often with an upper respiratory tract infection.
• Erythema and hypomobility of tympanic membrane.
• High-grade fever with mucopurulent discharge and then relief in pain.

Management

• Dry mopping of ear with sterile cotton wick if discharge present and Keep ear dry (Keep cotton wool in ears while washing hairs)
• Tab- Arinac forte (Ibuprofen + Pseudoephedrine) PO x TDS for 3 days then SOS
• One of the following antibiotics for 5-7 days

1. Tab-Amoxil (Amoxicillin) 1gm, PO x BD
2. Tab-Augmentin Amoxiclave/ Amclave (Co-amoxiclav) 1gm, PO x BD.
3. Tab- Zinacef Zinnat (cefuroxime) 500mg PO x BD
4. Tab-Orelox (Cefpodoxime) 200mg PO x BD

• Tympanocentesis is useful for otitis media in immunocompromised patients and when infection persist or recurs despite multiple courses of antibiotics.
• Surgical drainage of the middle ear (myringotomy) is reserved for patients with severe otalgia or when complications of otitis (e.g., mastoiditis, meningitis) have occurred.