ENT
PERICHONDRITIS
Infection of the tissue lining ear cartilage
Prompt
ResponsePerichondritis or cellulitis of the external ear
Extensive redness and swelling of the pinna/external ear, some extension onto neck
Pustule around removed piercing superior pinna cartilage
Remaining earrings in situ
Extensive redness and swelling of the pinna/external ear, some extension onto neck
Pustule around removed piercing superior pinna cartilage
Remaining earrings in situ
PromptPredisposing conditions
ResponseOtitis externa
Tick bite or insect
High ear piercing, or other local trauma
Tick bite or insect
High ear piercing, or other local trauma
PromptComplications
ResponseCartilage necrosis/cauliflauer ear
Local abscess formation
Deep extension eg: cerebral abscess/mastoiditis
Systemic involvement/sepsis
Local abscess formation
Deep extension eg: cerebral abscess/mastoiditis
Systemic involvement/sepsis
PromptBacteria
ResponsePseudamonas aeruginosa
S. Aureus
S. pyogenes
S. Aureus
S. pyogenes
PromptManagement:
ResponseAnalgesia
Antibiotics to cover pseudomonas - Must include pseudomonas cover
Remove other earrings if present
Antibiotics to cover pseudomonas - Must include pseudomonas cover
- Ciprofloxacin PO/IV (or other quinolone)
- Tazocin IV
- Antipseudomonal cephalosporin eg: Ceftazadine
Remove other earrings if present
PromptINTERNAL EAR
Response