Atypical cases
An unusual case of otomycosis was reported in an adolescent caused by multi-drug resistant Candida auris where topical nystatin and oral terbinafine were used to treat this emerging organism. In one case of invasive otitis externa affecting a female diabetic patient, Aspergillus niger, resistant to several topical agents, was treated effectively with intravenous voriconazole. Oral voriconazole was administered in two atypical cases caused by Aspergillus niger - one with relapsing polychondritis and otomycosis, the other with diabetes and invasive otomycosis. Sander R (18) reported on the use of oral itraconazole to treat clotrimazole-resistant Aspergillus infection. A rare case of otomycosis in a healthy male patient caused by Lichtheimia corymbifera was treated aggressively with debridement of devitalised tissue and a prolonged course of intravenous amphotericin B.