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Acute Auricular Perichondritis With an Effusion

Agnes Usoro1, Michael R Ehmann1

  • 1Johns Hopkins, Department of Emergency Medicine, Baltimore, Maryland.

Clinical Practice and Cases in Emergency Medicine
|November 26, 2019
PubMed

Insights

Acute swelling of the ear in a 62-year-old man was diagnosed as perichondritis with effusion. Prompt treatment with oral antibiotics is crucial to prevent cartilage damage and ear deformity.

Area of Science:

  • Otolaryngology
  • Emergency Medicine
  • Infectious Diseases

Background:

  • Perichondritis, an inflammation of the ear's cartilage lining, can lead to serious complications if not treated promptly.
  • Early recognition is key to preventing avascular cartilage necrosis and auricular deformity.

Purpose of the Study:

  • To report a case of acute perichondritis with effusion.
  • To emphasize the importance of timely diagnosis and management of auricular inflammation.

Main Methods:

  • A case presentation of a 62-year-old male with acute, atraumatic left ear swelling.
  • Diagnostic procedures included incision and drainage to analyze the effusion.
  • Management involved the prescription of oral antibiotics.

Main Results:

  • Incision and drainage yielded serous fluid, with no blood or purulence detected.
  • The patient was diagnosed with acute perichondritis with an effusion.
  • Treatment with oral antibiotics was initiated.

Conclusions:

  • Acute perichondritis requires prompt recognition and intervention.
  • Delayed treatment can result in necrosis of avascular cartilage and permanent auricular deformity.
  • Effective management, including oral antibiotics, can prevent adverse outcomes.

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