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Chondritis attributable to Lactobacillus after ear piercing.

B Razavi1, M Schilling

  • 1Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City 52242, USA. Razavib@mail.medicine.uiowa.edu

Diagnostic Microbiology and Infectious Disease
|May 5, 2000
PubMed
Summary

High ear piercing can lead to chondritis and abscess. Lactobacillus species were identified as a cause, highlighting the need for sterile techniques and avoiding cartilage piercing to prevent complications.

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Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Dermatology

Background:

  • Ear piercing is a common practice, but carries risks of infection and complications.
  • Diabetic patients may be more susceptible to infections.
  • High ear piercings, especially through cartilage, increase the risk of adverse outcomes.

Observation:

  • A diabetic patient presented with ear pain and purulent discharge post-ear piercing.
  • Clinical examination revealed chondritis complicated by an abscess.
  • Wound cultures identified Lactobacillus species as the causative pathogen.

Findings:

  • The patient successfully responded to parenteral antibiotic treatment.
  • No cosmetic deformity resulted from the infection.
  • Lactobacillus species are an uncommon but potential cause of post-piercing chondritis.

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Implications:

  • Emphasizes the importance of sterile techniques during ear piercing procedures.
  • Highlights the need for proper post-piercing ear hygiene.
  • Recommends avoiding piercing the auricular cartilage to minimize complication risks.
  • Suggests including Lactobacillus in the differential diagnosis for ear chondritis following piercing.