Symptoma

Perichondritis

Pseudomonas is common causative agent and when present can be associated with a more advanced clinical presentation and a longer hospitalization.[ 4 ] There may be no evident inciting cause, as in this case presentation. [ncbi.nlm.nih.gov]

SAXENA, MD, PHD, and MIKAYLA SPANGLER, PHARM D, BCPS Case Presentation A 26-year-old female presented with complaints of a swollen right pinna for 2 weeks. The swelling progressively worsened over time. [jucm.com]

Staphylococcus aureus and Pseudomonas aeruginosa are the most common bacteria. 1 The use of guns for piercing cartilage presents an additional risk of perichondritis. [pmj.bmj.com]

“Human immunodeficiency virus-associated non-Hodgkin’s lymphoma presenting as an auricular perichondritis.” Otolaryngology–Head and Neck Surgery 112.3 (1995): 493-495. ( PMID: 7870459 ) Wu, Douglas C., et al. “Pseudomonas skin infection.” [rebelem.com]

Presentation [ edit ] Intense pain in auricle. Auricles become red and thick. Body temperature rises. In serious cases pus appears between the perichondrium and cartillage. Purulent melting of auricular cartilage takes place. [en.wikipedia.org]

  • Relapsing Polychondritis

    Relapsing Polychondritis. Medscape website. . Updated Jun 21, 2016. Accessed July 24, 2017. [verywellhealth.com]

    Perichondritis has been noted to be the presenting symptom of a number of disease processes marked by immunosuppression, including HIV-associated Non-Hodkin’s Lymphoma, relapsing polychondritis, and—not uncommonly—diabetes ( Caruso 2014 ) ( Levin 1995 [rebelem.com]

  • Hodgkin Lymphoma

    “Human immunodeficiency virus-associated non-Hodgkin’s lymphoma presenting as an auricular perichondritis.” Otolaryngology–Head and Neck Surgery 112.3 (1995): 493-495. ( PMID: 7870459 ) Wu, Douglas C., et al. “Pseudomonas skin infection.” [rebelem.com]

  • Arthralgia

    In one meta-analysis of 16,184 pediatric patients given systemic ciprofloxacin, the risk of musculoskeletal adverse events attributed to therapy was 1.6%, half of which were arthralgias which resolved upon drug withdrawal ( Adefurin 2011 ). [rebelem.com]

  • Otalgia

    Patients initially experience dull pain, which gradually develops into severe otalgia with a purulent discharge ( Noel 1989 ). Early cases are marked by erythema, swelling, and tenderness of the auricle without notable fluctuance (Chun 2013). [rebelem.com]

  • Lesion of the Pinna

    A comprehensive study on lesions of the pinna. Am J Otolaryngol 2005;26(1):1-6. ( PMID: 15635573 ) Chun, Robert, and Opeyemi Daramola. “Clinical Anatomy for the Pediatrician.” Otolaryngology for the Pediatrician 1 (2013): 3. [rebelem.com]

  • Ear Discharge

    […] even further, providing a good medium for bacteria that could be introduced by the piercing needle or gun.5 Surgery and burns can also cause perichondritis, and there have been rare cases of the infection occurring secondary to furunculosis, chronic ear [jucm.com]

  • Suggestibility

    Traditionally, fluoroquinolones have been avoided in pediatric patients due to fears of arthropathy, however recent literature suggests that risk is abundantly low. [rebelem.com]

    Conclusions Our findings suggest that intravenous antibiotic therapy covering S. aureus is sufficient and appropriate empirical treatment in the majority of patients with non-abscess perichondritis. [springermedizin.de]

  • Fear

    Traditionally, fluoroquinolones have been avoided in pediatric patients due to fears of arthropathy, however recent literature suggests that risk is abundantly low. [rebelem.com]

  • Pseudomonas

    The most common microorganism responsible for perichondritis is Pseudomonas Aeruginosa, a gram-negative rod with intrinsic antibiotic resistance mechanisms ( Caruso 2014 ) ( Wu 2011 ). [rebelem.com]

    Also known as: perichondritis infection, Pseudomonas aeruginosa infection. What is perichondritis? The perichondrium is a thin dense layer of tissue that surrounds cartilage and which provides it with nutrients. [nicklauschildrens.org]

    Abstract Purpose Pseudomonas aeruginosa is commonly found in suppurative perichondritis, but the significant pathogens in non-abscess perichondritis are unclarified. [springermedizin.de]

    The most commonly found pathogen is Pseudomonas aeruginosa, together with Staphylococcus aureus 6. [bjorl.org]

    Antibiotics coverage should be targeted to cover skin flora and Pseudomonas, and if an abscess is present, surgical drainage is also recommended to prevent ear disfigurement. [ncbi.nlm.nih.gov]

The human pinna receives less humoral circulation which can lead to treatment failure and progression of the disease.[ 5 ] Treatment however, consists of antibiotics and, if an abscess is present, surgical drainage. [ncbi.nlm.nih.gov]

Perichondritis treatment Early treatment is important in order to reduce the chance of the infection spreading to the cartilage which could damage the structure of the ear. [specsavers.co.uk]

[…] for Perichondritis Treatment for your perichondritis will be based on your physical examination. [verywellhealth.com]

Treatment Treatment consists of broad antibiotic coverage, either by mouth or directly into the bloodstream via an intravenous line. [jucm.com]

As high rates of oral antibiotic treatment failure have been documented, some patients may require a course of intravenous antibiotics or treatment in a monitored setting in order to ensure symptom improvement ( Rees 2016 ). [rebelem.com]

Outlook (Prognosis) How well a person does depends on how quickly the infection is diagnosed and treated. If antibiotics are taken early, full recovery is expected. If the infection involves the ear cartilage, more involved treatment is needed. [account.allinahealth.org]

Prognosis of perichondritis is good if treated promptly; a full recovery is typically expected. Thanks for your feedback! Brant, JA & Ruckenstein, MJ. (2015). [verywellhealth.com]

METHODS: We retrospectively studied 114 patients who were admitted with perichondritis during 1987-2004, including their demographic details, medical history, current illness, etiology, pathogens and treatments. [ncbi.nlm.nih.gov]

Stell, PM, Morrison, MD: Radiation necrosis of the larynx, etiology and management. Arch Otolaryngol 98: 111 – 113, 1973. Google Scholar Medline 6. Goodrich, WA, Lenz, M: Laryngeal chondronecrosis following roentgen therapy. [journals.sagepub.com]

No traumatic etiology was identified. [rebelem.com]

If so, plastic surgery will be needed to restore the ear to its normal shape.2-4 Prevention The best way to prevent perichondritis is to avoid pierc- ing one’s ear through the cartilage, as opposed to the ear lobe. [jucm.com]

After removing the damaged parts of the ear, the plastic surgeon can reconstruct the removed portion in order to cosmetically restore the removed portions of your ear Preventing Perichondritis Sometimes perichondritis cannot be prevented, such as in the [verywellhealth.com]

Prevention Avoid piercing your ear through the cartilage. Piercing the ear lobe is a better option. The popularity of cartilage piercing has led to a significant increase in the number of perichondritis and chondritis infections. [account.allinahealth.org]