3 yr boy w fungal infection in middle ear with pe tubes. how common is this?ototoxic? infection may have been present for 2 mos prior to dx- he rubbed and said rock in ear but dr saw nothing b4 pus.

Very unusual: A middle ear fungal infection in an immunocompetent person would be highly unlikely. Can have fungal ear canal infections or fungi in secretions associated with pe tubes. If the infection doesn't respond to antimicrobial treatment based on culture of the drainage consider removal of tubes, adenoidectomy, antireflux treatment, blood test for antibody levels and lymphocyte enumeration, .

Not very common.: Well fungal infection is not common in otherwise healthy children even with pe tubes, once it's treated it does not affect hearing permanently. My question how was it diagnosed fungal infection did pus or any discharge draining from the tubes was send for culture and that proved it?