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The infection may be either subacute or acute and is characterized by itching in the ear, malodorous discharge, inflammation, pruritus, scaling, and severe discomfort or ear pain. The mycosis results in inflammation, superficial epithelial exfoliation , masses of debris containing hyphae , suppuration , and pain . [ 2 ]
Earwax helps protect the ear by trapping dust and other foreign particles that could filter through and damage the eardrum. [5] Normally, earwax moves toward the opening of the ear and falls out or is washed away, but sometimes excessive earwax can gather and become hard to remove. This is referred to as excessive earwax or impacted cerumen. [21]
Prolonged inflammation leads to middle ear swelling, ulceration, perforation, and attempts at repair with granulation tissue and polyps. This can worsen discharge and inflammation, potentially developing into CSOM, often associated with cholesteatoma. Symptoms may include ear discharge or pus seen only on examination. Hearing loss is common.
Diagnosing bullous myringitis involves using an otoscope to spot distinctive white sack-like structures on the eardrum.Ear pain is the primary complaint. However, differentiating it from acute otitis media can be difficult, leading to early misdiagnosis.The rarity of bullous myringitis, especially compared to acute otitis media, can result in common misdiagnoses.
Main symptoms of swimmer’s ear are a feeling of fullness in the ear, itchiness, redness, and swelling in or around the ear canal, muffled hearing, pain in the external ear and ear canal and especially a smelly discharge from the ear. [9] Constriction of the ear canal from bone growth (Surfer's ear) can trap debris leading to infection. [10]
In general, if a strong odor or a change in discharge color or consistency persists, “you do want to check in with your gyn health care provider, who can help treat a particular infection if ...
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