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August 1950

I. Mycologic Flora of the Ear

Author Affiliations

From the Department of Bacteriology, Duke Hospital.

Arch Otolaryngol. 1950;52(2):202-207. doi:10.1001/archotol.1950.00700030223008

OTOMYCOSIS was first recognized in 1844 by Mayer, who, according to Wolf,1 reported the presence of a "mycotic parasite in the pus of a draining ear." Hall2 stated that the first fungus to be isolated from ears was identified as an Aspergillus in 1867 by Prof. Schwartz of Halle. Since these initial reports, many fungi have been isolated from patients with otomycosis, and medical literature is replete with publications concerning the cause of this disease. A recent review of the literature on this subject by Wolf1 has revealed that "at least 53 different species of fungi have been reported to cause otomycosis."

There is much controversy among otologists, however, concerning the significance of those fungi which have been isolated from obviously infected ears in regard to their role as primary infectious agents, as secondary invaders or as harmless contaminants of the auditory canal. While it is the view of some

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