What is the appropriate management for otitis externa with a suspicion of fungal involvement?

The appropriate management for otitis externa with a suspicion of fungal involvement is to use Kenacomb Otic. This medication is a combination of an antifungal agent, an antibiotic, and a corticosteroid, which makes it effective in treating both bacterial and fungal infections of the ear. The antifungal component directly addresses the suspected fungal involvement, while the antibiotic helps to manage any secondary bacterial contamination. Additionally, the corticosteroid in the formulation reduces inflammation and relieves associated discomfort, which is crucial for patient comfort and recovery.

For cases of otitis externa, especially when a fungal infection is suspected, it's important to avoid systemic antibiotics like amoxicillin, as they do not target fungal pathogens and may not resolve the underlying issue. While topical corticosteroids can help with inflammation, they do not specifically address fungal infections. Paracetamol, while useful for pain management, does not treat the underlying cause of the infection and is not a primary treatment option on its own. Thus, the use of Kenacomb Otic is the most appropriate course of action in this scenario, providing a multifaceted approach to therapy.