Article Text

Download PDFPDF
Fungal malignant otitis externa
  1. Philippe Frederick Bowles1,
  2. Victoria Perkins2,
  3. Eyal Schechter2
  1. 1Brighton and Sussex University Hospitals NHS Trust, Brighton, Brighton and Hove, UK
  2. 2Colchester Hospital University NHS Foundation Trust, Colchester, Essex, UK
  1. Correspondence to Dr Philippe Frederick Bowles; philbowles{at},


An 89-year-old man presented to the outpatient clinic with a 2-month history of persistent unilateral left-sided otalgia, otorrhoea and reduced hearing despite oral and topical antibiotics. Treatment was protracted, requiring a 4-month hospital admission for intravenous antifungal medication as well as 3 further months of oral antifungal treatment. We describe the clinical presentation, complications and treatment of this potentially fatal condition in the context of an unusual, and easily missed, causative organism.

Statistics from


  • Contributors PFB, VP and ES made substantial contributions to the conception or design of the work, or the acquisition, analysis or interpretation of data. All authors drafted and revised the work including critical appraisal for important intellectual content. They approved final version to be published. PFB, VP and ES agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.