Fungal granuloma in external auditory canal.

Aural masses are most commonly inflammatory in nature, but may also manifest as more severe disease making them an important differential diagnoses. We present the case of a 20-year-old female who presented with a 3-month history of unilateral, foul smelling, occasionally blood stained ear discharge and earache. She was conservatively treated for these 3 months and was subsequently referred to our institute where she was diagnosed with a mass left ear. After thorough evaluation an excision biopsy with histopathological examination was done which proved the mass to be a fungal granuloma. The importance of this case report lies in the statement that in a case presenting with chronic foul smelling ear discharge fungal granuloma should be kept in the differential diagnoses.