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Milian's ear sign: Erysipelas
Hiroshi Sugimoto1, Keitaro Furukawa1
1Department of Infectious Diseases, St. Luke's International Hospital, Tokyo, Japan.
Idcases
|September 8, 2018
Abstract:
A clinical case is presented here of a patient with fever and ear pain. Physical examination revealed "Milian's ear sign", which supports the diagnosis of erysipelas rather than cellulitis. After intravenous antibacterial treatment, the patient recovered.
Insights
A patient with ear pain and fever was diagnosed with erysipelas, not cellulitis, based on Milian's ear sign. Intravenous antibiotic treatment led to the patient's recovery.
Area of Science:
- Clinical Medicine
- Infectious Diseases
- Dermatology
Background:
- Erysipelas and cellulitis are common bacterial skin infections.
- Distinguishing between erysipelas and cellulitis can be challenging.
- Milian's ear sign is a clinical finding associated with specific infections.
Purpose of the Study:
- To present a clinical case illustrating the diagnostic utility of Milian's ear sign.
- To highlight the importance of recognizing specific clinical signs in differentiating skin infections.
- To emphasize the effective treatment of erysipelas.
Main Methods:
- Case report of a patient presenting with fever and ear pain.
- Physical examination to identify key clinical signs, including Milian's ear sign.
- Diagnostic differentiation between erysipelas and cellulitis.
Main Results:
- The presence of Milian's ear sign strongly suggested erysipelas.
- The patient received intravenous antibacterial therapy.
- Complete recovery was achieved following treatment.
Conclusions:
- Milian's ear sign is a valuable clinical indicator for diagnosing erysipelas of the ear.
- Prompt and appropriate antibiotic treatment is crucial for managing erysipelas.
- Accurate diagnosis based on clinical signs leads to effective patient outcomes.