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.
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