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What is it and how to treat it?

Discussion in 'Diving Medicine' started by Cert1967, Nov 21, 2019.

  1. Cert1967

    Cert1967 Let's Go Skiing

    # of Dives: I just don't log dives
    Location: Vail, Colorado
    241
    155
    43
    @scubadada wins the chicken dinner.

    Not surprising as his profile lists his occupation as, "Physician, Infectious Diseases, retired".​

    My old high school buddy, Ed, Professor of Biological Sciences (Pathology), was the unfortunate victim. Here is what he had to say.

    "Ten percent of swimmer’s ear cases are fungal, and many are caused by Aspergillus niger, which has the prettiest fruiting bodies and pigment too. The “funny earwax” was a fungus ball. Treatment was to squeeze a tube of clotrimazole jock itch creme into my ear. Full recovery by 36 hours."​

    A big squirt of Lotrimin in the ear?
     
  2. Cert1967

    Cert1967 Let's Go Skiing

    # of Dives: I just don't log dives
    Location: Vail, Colorado
    241
    155
    43
    @tursiops, Pal you are the "marine scientist and master instructor". I didn't know you were also the SB PoPo?

    If you don't want to participate in a thread - just pass it on by.

    On a more serious note - ear issues are a recurring topic on SB. Here a fungal case is presented with the treatment being jock itch cream shot into the ear.

    Me, I thought a "Marine Scientist" would find the question easy - I guess not.
     
  3. scubadada

    scubadada Diver Staff Member ScubaBoard Supporter

    # of Dives: 1,000 - 2,499
    Location: Philadelphia and Boynton Beach
    10,934
    6,382
    113
    Probably superficial otitis externa due to Aspergillus niger. Suspect it was treated with acetic acid/vinegar. See #6

    Hi @Cert1967 You were posting while I was typing
     
  4. tursiops

    tursiops Marine Scientist and Master Instructor ScubaBoard Supporter

    # of Dives: 2,500 - 4,999
    Location: U.S. East Coast
    8,298
    6,024
    113
    >>ignore
     
  5. Jcp2

    Jcp2 ScubaBoard Supporter ScubaBoard Supporter

    629
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    That’s a fungal fruiting body.
     
  6. scubadada

    scubadada Diver Staff Member ScubaBoard Supporter

    # of Dives: 1,000 - 2,499
    Location: Philadelphia and Boynton Beach
    10,934
    6,382
    113
    Hi @Cert1967

    Good story but I don't believe clotrimazole has activity against Aspergillus. Removing the infected/colonized cerumen and flushing out the canal probably did it.

    When do I get the dinner?
     
  7. Saboteur

    Saboteur Regular of the Pub

    # of Dives: 100 - 199
    Location: Earth
    396
    272
    63
    There’d be quite a story to that....
     
  8. wetb4igetinthewater

    wetb4igetinthewater Instructor, Scuba

    # of Dives: 500 - 999
    Location: Seattle
    3,907
    2,260
    113
    YAY! I WON! I WON!
     
  9. wetb4igetinthewater

    wetb4igetinthewater Instructor, Scuba

    # of Dives: 500 - 999
    Location: Seattle
    3,907
    2,260
    113
    I am being robbed!
     
  10. Cert1967

    Cert1967 Let's Go Skiing

    # of Dives: I just don't log dives
    Location: Vail, Colorado
    241
    155
    43

    Me, not smart enough for an opinion on the treatment. But the doc - the victim - said 36 hours after the jock cream injection did the trick.

    The DINNER - join us in Raja this spring and its on me.

    Skier? Vail is looking good this year - lots of great places to eat - dinner is on me here too.

    Thanks for your participation and insightful comments. Wish I was as smart as you and Ed.
     

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