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Swimmer's ear - Overview

Alternative Names

Ear infection - outer ear - acute; Otitis externa - acute; Chronic swimmer's ear; Otitis externa - chronic; Ear infection - outer ear - chronic

Definition of Swimmer's ear :

Swimmer's ear is inflammation, irritation, or infection of the outer ear and ear canal. The medical term for swimmer's ear is otitis externa.

Swimmer's ear may be acute or chronic.

Causes, incidence, and risk factors:

Swimmer's ear is fairly common, especially among teenagers and young adults. It is occasionally associated with middle ear infection (otitis media) or upper respiratory infections such as colds.

Swimming in polluted water can lead to swimmer's ear. Water-loving bacteria such as Pseudomonas, as well as other bacteria or fungi (in rare cases), can cause ear infections.

Other causes of swimmer's ear include:

  • Inflammation and irritation of the bone and tissues at the bottom of the skull (malignant otitis externa)
  • Scratching the ear or inside the ear
  • Getting something stuck in the ear

Trying to clean wax from the ear canal, especially with cotton swabs or small objects, can irritate or damage the skin.

Long-term (chronic) swimmer's ear may be due to:

  • Allergic reaction to something placed in the ear
  • Chronic skin conditions such as eczema or psoriasis
  • Reviewed last on: 8/3/2010
  • Linda Vorvick, MD, Family Physician, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Guss J, Ruckenstein MJ. Infections of the external ear. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2010:chap 137.

Pfaff JA, Moore GP. Otolaryngology. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 70.

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