30 year old female of South Asian descent referred to the emergency department by her general practitioner over concern of fungal otitis externa. She presented with a week of bloody and purulent right otorrhea not improving with topical antibiotics. She reported two previous episodes of otorrhea within the last 6 months. There was no history of previous ear disease or surgery. Upon toileting of a large amount of purulent debris and skin from the ear canal, evaluation of the tympanic membrane could be made and a conductive hearing loss confirmed on tuning fork testing.