Otomycosis (ear fungus) is a fungal infection in the ears that tends to be a problem for people who live in warm areas of the world. Avid swimmers, individuals who suffer from diabetes, or people who have chronic medical and skin conditions can also experience ear fungus. Otomycosis is also called mycotic otitis externa or Singapore ear. Classically, fungal infection is the result of prolonged treatment of bacterial otitis externa that alters the flora of the ear canal. Mixed bacterial and fungal infections are thus common, 11 However, fungus is occasionally the primary pathogen in otitis externa, especially in the presence of excessive moisture or heat. Q-Tips cause fungal infections by wiping away the protective wax that naturally ocurs and scratching the inner ear canal; thus, leaving the skin susceptible to infections. I .