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Postauricular feather foreign body in an infant.

Aayushi Hemmad1, Ayla Serena Tabaksert2, David Ashley Lowe2

  • 1Ear, Nose and Throat, James Cook University Hospital, Middlesbrough, UK aayushi.hemmad2@nhs.net.

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Summary

A rare case of a soft tissue foreign body, a sofa cushion feather, caused postauricular swelling in an infant. This highlights the need to consider unusual causes when antibiotics fail to resolve persistent pediatric swelling.

Keywords:
Ear, nose and throat/otolaryngologyInfant healthPaediatrics

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Area of Science:

  • Pediatric Medicine
  • Otolaryngology
  • Dermatology

Background:

  • Postauricular swelling in infants can mimic infections like mastoiditis.
  • Antibiotic treatment is standard for suspected bacterial causes of such swelling.

Purpose of the Study:

  • To report an unusual case of postauricular swelling caused by a soft tissue foreign body.
  • To emphasize the importance of considering non-infectious etiologies in pediatric postauricular swelling.

Main Methods:

  • Clinical presentation and examination of a male infant with postauricular swelling.
  • Diagnostic imaging (cross-sectional) to rule out middle ear and mastoid infections.
  • Observation of clinical response to intravenous antibiotics.
  • Identification of a self-extruded foreign body.

Main Results:

  • Infant presented with fever, reduced oral intake, and postauricular swelling.
  • Imaging excluded middle ear infection and mastoiditis.
  • Swelling showed minimal improvement with antibiotics.
  • A feather foreign body was identified after self-extrusion.

Conclusions:

  • Soft tissue foreign bodies are a rare but important differential diagnosis for pediatric postauricular swelling.
  • Failure to respond to antibiotics should prompt consideration of unusual etiologies.
  • Prompt identification and removal of foreign bodies are crucial for resolution.