Which of the following is NOT a symptom of otitis externa?

Otitis externa, often referred to as swimmer's ear, primarily manifests in symptoms localized to the ear canal. Pain in the ear canal is a significant symptom due to inflammation and irritation of the tissues. Itching is another common symptom, often resulting from the same inflammation or associated infections. Additionally, ear discharge can occur, especially if there is a secondary bacterial or fungal infection, leading to the secretion of pus or other fluids.

Fever is generally not a typical symptom of otitis externa. While systemic symptoms like fever can occur in more extensive infections or in children, they are more characteristic of middle ear infections (otitis media) rather than otitis externa. The primary symptoms of otitis externa focus on discomfort, itching, and discharge localized to the ear canal, making fever an atypical presentation in this case.