Perichondritis of the auricle and its management

Prasad, Hemanth K; Sreedharan, Suja; Meyyappan, M Hari; Harsha, K Shri

doi:10.1017/s0022215107005877

Cited by 45 publications

(35 citation statements)

References 11 publications

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“…The organism most commonly isolated in suppurative (abscess) perichondritis is Pseudomonas aeruginosa. Other organisms commonly found include Staphylococcus aureus or Escherichia coli and Proteus species [1,2]. Meanwhile, in non-abscess perichondritis, S. aureus is the most commonly isolated organism, followed by P. aeruginosa [2].…”

Section: Discussionmentioning

confidence: 99%

“…Auricular perichondritis (also called pinna perichondritis) is an infectious and inflammatory condition of the external ear that usually occurs secondary to trauma (i.e., high ear piercing, blunt trauma, burns, iatrogenic), which leads to the infection, with or without abscess formation [1]. It classically presents as redness and painful swelling of the auricle with sparing of the lobule.…”

Section: Introductionmentioning

confidence: 99%

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Perichondritis: Not All Ear Pain Is Otitis

Rivera-Morales

Rodríguez-Belén

Vera

et al. 2020

Cureus

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perichondritis: Not All Ear Pain Is Otitis

Rivera-Morales

Rodríguez-Belén

Vera

et al. 2020

Cureus

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“…Chondritis and perichondritis may result from trauma or direct extension from otitis externa. Common infectious etiologies include P. aeruginosa , S. aureus , E. coli , and Proteus species, with P. aeruginosa being the most common [ 2 , 3 ]. If bilateral or recurrent episodes occur, workup for relapsing polychondritis should be entertained [ 1 , 4 ].…”

Section: Diagnosismentioning

confidence: 99%

“…Perichondritis is a clinical diagnosis made via physical examination [ 1 , 2 ]. The classic finding of perichondritis is erythema and edema with sparing of the fatty lobule, which lacks any cartilaginous structure [ 1 ].…”

Section: Diagnosismentioning

confidence: 99%

Perichondritis: inspect the lobule

Bress

Cohn

2020

Int J Emerg Med

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Case presentation This is a brief report of a 57-year-old Caucasian female presented with a 4-day history of worsening left ear pain. Her symptoms began with left otalgia and otorrhea which progressed to helical erythema, prompting a visit to the emergency department. She was noted to have erythema of the left auricle and swelling of the left auditory meatus. Our otolaryngology service observed erythema of the auricle with sparing of the lobule. Diagnosis The diagnosis to be otitis externa with perichondritis was established, and we recommended otic ciprofloxacin-hydrocortisone, IV vancomycin, and ciprofloxacin. The patient had marked improvement and was discharged on an oral and otic fluoroquinolone. In this case, the diagnosis of perichondritis was made by a classic physical examination finding: erythema and edema with sparing of the fatty lobule. This key finding helps to distinguish perichondritis from otitis externa.

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“…It is most commonly caused by the pathogens Pseudomonas aeruginosa , Staphylococcus aureus and Streptococcus pyogenes 2. Cases have been reported after ear piercing, blunt trauma and surgical procedures,3 although this child had no obvious trigger factors. High rates of oral antibiotic treatment failure have been documented, suggesting that patients may require a short course of intravenous antibiotics prior to transitioning to oral antibiotic therapy 2.…”

mentioning

confidence: 90%