Candidal otitis externa
ICD-10 B37.84 is a billable code used to indicate a diagnosis of candidal otitis externa.
Candidal otitis externa is a fungal infection of the external ear canal caused by Candida species, most commonly Candida albicans. This condition typically presents with symptoms such as itching, redness, swelling, and discharge from the ear. It is often associated with moisture retention in the ear canal, which can occur due to swimming, excessive sweating, or the use of hearing aids. Patients may also experience pain or discomfort, particularly when manipulating the ear. Candidal otitis externa is more prevalent in immunocompromised individuals, including those with diabetes, HIV/AIDS, or those undergoing chemotherapy, as their immune systems are less capable of controlling fungal growth. Diagnosis is primarily clinical, supported by the identification of Candida species through culture or microscopy. Treatment usually involves topical antifungal agents such as clotrimazole or nystatin, and in some cases, oral antifungals may be necessary for more severe infections. Preventive measures include keeping the ears dry and avoiding the insertion of foreign objects into the ear canal.
Detailed clinical notes including symptoms, examination findings, and treatment plan.
Patients presenting with ear pain, itching, or discharge, particularly after swimming or using hearing aids.
Ensure to document any underlying conditions that may predispose the patient to fungal infections.
Comprehensive history of immunocompromised status and previous infections.
Patients with recurrent ear infections or those with a history of systemic fungal infections.
Document any antifungal treatments previously administered and their outcomes.
Often performed in conjunction with treatment for otitis externa.
Document the reason for cerumen removal and any associated symptoms.
Otolaryngologists may frequently perform this procedure in patients with ear infections.
Common symptoms include itching, redness, swelling, and discharge from the ear, often accompanied by pain or discomfort.
Treatment typically involves topical antifungal medications such as clotrimazole or nystatin, and in severe cases, oral antifungals may be prescribed.
Individuals who are immunocompromised, such as those with diabetes or HIV, are at higher risk, as well as those with excessive moisture in the ear canal.
