This patient presented with chronic otitis externa due to a combination of both bacteria and Aspergillus. The white fluffy cotton fibers of Aspergillus can be seen floating on top of a thick suppurative...
This patient who has a large central perforation in the left tympanic membrane and chronic otitis media, has developed a fungal superinfection from an Aspergillus species. Note white straight fluffy hyphae...
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