Perichondritis: inspect the lobule
Abstract 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...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-10-01
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| Series: | International Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12245-020-00310-z |
| _version_ | 1828811814738067456 |
|---|---|
| author | Eli Bress Jason E. Cohn |
| author_facet | Eli Bress Jason E. Cohn |
| author_sort | Eli Bress |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-12T09:33:58Z |
| format | Article |
| id | doaj.art-5b65fa12df9c44cbb12457117d46c1e3 |
| institution | Directory Open Access Journal |
| issn | 1865-1372 1865-1380 |
| language | English |
| last_indexed | 2024-12-12T09:33:58Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Emergency Medicine |
| spelling | doaj.art-5b65fa12df9c44cbb12457117d46c1e32022-12-22T00:28:47ZengBMCInternational Journal of Emergency Medicine1865-13721865-13802020-10-011311210.1186/s12245-020-00310-zPerichondritis: inspect the lobuleEli Bress0Jason E. Cohn1Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic MedicineDepartment of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic Reconstructive Surgery, Louisiana State University Health Sciences CenterAbstract 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.http://link.springer.com/article/10.1186/s12245-020-00310-zPerichondritisAuriclePinnaEarOtitis externa |
| spellingShingle | Eli Bress Jason E. Cohn Perichondritis: inspect the lobule International Journal of Emergency Medicine Perichondritis Auricle Pinna Ear Otitis externa |
| title | Perichondritis: inspect the lobule |
| title_full | Perichondritis: inspect the lobule |
| title_fullStr | Perichondritis: inspect the lobule |
| title_full_unstemmed | Perichondritis: inspect the lobule |
| title_short | Perichondritis: inspect the lobule |
| title_sort | perichondritis inspect the lobule |
| topic | Perichondritis Auricle Pinna Ear Otitis externa |
| url | http://link.springer.com/article/10.1186/s12245-020-00310-z |
| work_keys_str_mv | AT elibress perichondritisinspectthelobule AT jasonecohn perichondritisinspectthelobule |