“…The high incidence of gram-negative bacilli in cultures obtained in otitis externa has been stressed in other reports.!" [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] The importance of streptococci as pathogenic agents in otitis externa was observed by Michell, 36 Ponce de Leon,37 and Williams, Montgomery and Powell." According to Senear,39 the fungi demonstrable in the ear are usually of non-pathogenic varieties and rarely of types giving rise to the usual dermatologic disorders of mycotic origin.…”