Related Experiment Video
Updated: Feb 4, 2026

An Experimental Analysis of Children's Ability to Provide a False Report about a Crime
Published on: May 3, 2016
Intractable Otitis Media Presenting as Falsely Positive for Proteinase 3-ANCA: A Case Report
Masahiro Okada1, Hideo Ogawa1, Koichiro Suemori2
1Department of Otolaryngology, Head and Neck Surgery, Ehime University School of Medicine, Toon, Japan.
Abstract:
Herein, we report a case of otitis media caused by methicillin-resistant Staphylococcus aureus (MRSA), presenting as falsely positive for proteinase 3 (PR3)-antineutrophil cytoplasmic antibodies (ANCA). A 47-year-old woman was referred to our hospital with a complaint of left otorrhea. An otorrhea culture yielded MRSA, and the patient was treated using tympanoplasty. Postoperative administration of teicoplanin lead to drug-induced neutropenia and was discontinued 4 days after the operation. One month after the operation, the patient's otorrhea recurred, and it was accompanied by hearing impairment. The otorrhea culture yielded MRSA again, while serum was positive for PR3-ANCA (6.8 U/mL). As MRSA was detected in the patient's otorrhea sample, she was treated with linezolid. Her symptoms then improved immediately. Although the PR3-ANCA positivity remained, the patient's otorrhea and hearing impairment had not recurred for 3 years when this report was submitted. Therefore, we conclude that this is a case of false PR3-ANCA positivity.
Insights
This case study highlights methicillin-resistant Staphylococcus aureus (MRSA) otitis media mimicking autoimmune disease. Effective antibiotic treatment resolved symptoms, despite persistent false-positive proteinase 3 (PR3)-antineutrophil cytoplasmic antibodies (ANCA).
Area of Science:
- Infectious Diseases
- Immunology
- Otolaryngology
Background:
- Otitis media can be caused by various pathogens, including antibiotic-resistant bacteria.
- Proteinase 3-antineutrophil cytoplasmic antibodies (PR3-ANCA) are typically associated with autoimmune vasculitis.
- Distinguishing infectious from autoimmune causes of specific symptoms is crucial for accurate diagnosis and treatment.
More Related Videos
Related Concept Videos
False Memories
One primary source of false memories is misattribution, where individuals incorrectly associate external information...
Data Reporting and Recording
Position-effect Variegation
Microbial Growth Media
Types of Reports I: Hands-off Report
Following are the key components and categories of hand-off reports:
Purpose and Process:
Serial Position Effect

