Aspergillus niger otomycosis in a child with chronic otitis externa

Aspergillus niger is commonly associated with otomycosis. Currently, local guidelines lack appropriate guidance on the definitive treatment and management when the fungus is identified. The repeated use of antibiotics in children with refractory episodes of otitis externa is concerning and may contribute towards otomycosis. This case report highlights the importance of a well-collected pus swab from the ear and suggests a topical antifungal to use in paediatric patients with Aspergillus niger otomycosis.