Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/23/2025

Treatment of Ear Candidiasis (Otomycosis)

Management of Refractory Cases

  • For severe or invasive disease extending beyond the external canal, systemic antifungal therapy with oral fluconazole (100-200 mg daily) or intravenous amphotericin B may be necessary 1

Critical Clinical Pitfalls to Avoid

  • Do not rely on fungal cultures alone - many individuals have asymptomatic colonization, and treatment decisions should be based on clinical presentation 2

REFERENCES

1

guidelines for treatment of candidiasis. [LINK]

Clinical Infectious Diseases, 2004

2

Treatment of Candida Infections [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025