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1. Seen in pt with external otitis but did not recover after 1-2 courses of treatment specially with risk factors for DM and Immunodeficiency
2. Treatment
1. clean the canal from debris
2. Solution clotrimazole 1% 3drop tds for 10-14 days #1
3. Solution Gentian Violet 1% 3drops tds for 10-14 days #1
3. if severely ill, use oral fluconazole and refer to ENT
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