Happy #FungalFriday 🍄 Young male presents with significant pain and hearing loss over the last 3 months 2° to ear infection. Previously treated with topical drugs, oral and recently IM abx. What’s in your ddx? #MicroRounds #IDRounds
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Bacterial and fungal cultures grow organism pictured 👇🏻. Colony morphology of surface is a white mold sprinkled with black (almost looks like pepper) appearing after a few days. Reverse is white/cream.
@cmthompson15 The most common fungus I see in the ear...Aspergillus niger!
@cmthompson15 Aspergillus niger comes to mind, although I'm trying to convince myself how dark those conidia actually are 😅