Fungal mastoiditis in an immunocompetent adult

Manifest fungal infection of the middle ear, fungal mastoiditis, is a very ran entity, which is almost exclusively seen in immunocompromised patients. The authors present a case of fungal mastoiditis in a 52-year-old woman wi thout immunocompromise, The patient presented with, acutely progressing sym ptoms of hearing loss and dysequilibrium. Bony fistula of the semicircular canal was noted on CT scans and a marginal perforation of the tympanic memb rane was also seen. Her hearing recovered following the surgery, which reve aled massive granulations and proliferation of fungi but no cholesteatoma i n the mastoid cavity, Fungal infection of the middle ear is rare, but can c ause serious complications, The possibility should be considered even in im munocompetent patients.