Fungal Otitis Externa is characterized by the inflammation of the tonsils, also known as Tonsilloliths in adults. This condition occurs when excessive amounts of fungi, such as a yeast species or an organism with roots in the throat, invade the tonsil crypts. Fungal growths are attracted to saliva, tissue proteins (such as those found in small cavities or creases in the gums), or food particles. Fungal infection often causes inflammation near the tonsils' base, but occasionally it occurs in the crypts themselves which are located just above the tonsils at the back of the mouth. In this case, the tonsil crypts begin lining with white blood cells and pus which can become quite painful.
The fungal otitis externa can be life-threatening, even fatal, if not recognized and treated promptly. In the best-case scenario, this condition clears up on its own after several weeks or months, providing the person with full auditory function. In the majority of cases, however, symptoms persist and symptoms usually increase in severity in the last weeks of life. This is commonly known as severe otomycosis and is one of the most common causes of death in the USA, with complications from this condition accounting for more than 25% of death records for that year.
As in the acute case, treatment for chronic otitis externa can either be successful or ineffective. Treatment options include topical creams and antibiotics to control any bacterial infections, and steroids to reduce any swelling. If these treatments are unsuccessful then invasive surgery may be necessary to remove the infected tissues or to perform some other form of treatment. For some people, treatment might involve both, especially if the fungal otitis externa has infected more than one ear or nasal canal. The course of treatment may vary from person to person and is usually long-term.
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