Auricular Perichondritis in a Patient with Personal Antecedents of Type II Diabetes and Radical Mastoidectomy

Sandu Alexandra-Irina, Stefanescu Cristian Dragos
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Abstract

Auricular perichondritis is a rare but severe complication that can occur in patients who experienced ear trauma or those suffering from an immunosuppressive condition. Its treatment is difficult, time consuming and the prognosis is usually poor. We present the case of a 68-year-old patient with personal antecedents of ear surgery, type II diabetes and signs of poor local hygiene, who was admitted to our ENT department with a swollen, painful, erythematous pinna, treated empirically for a period of 3 weeks with systemic antibiotics (cefuroxime), local drainage and application of antiseptic medication (iodine solution, boric acid). Considering the long hospitalization time and the multiple comorbidities of our patient, the present case report is aimed to highlight the importance of a diversified approach of treatment in patients vulnerable to auricular perichondritis.
伴有2型糖尿病和根治性乳突切除术的患者的耳廓软骨炎
耳廓软骨炎是一种罕见但严重的并发症,可发生在耳部外伤或免疫抑制患者中。其治疗困难,耗时,预后通常较差。我们报告一位68岁的患者,有耳部手术的个人病史,2型糖尿病和局部卫生状况不佳的迹象,他因肿胀,疼痛,耳部红斑而被收住我们的耳鼻喉科,经验治疗了3周,全身抗生素(头孢呋辛),局部引流和抗菌药物(碘溶液,硼酸)的应用。考虑到我们的病人住院时间长和多重合并症,本病例报告旨在强调易患耳廓软脊炎的患者多元化治疗方法的重要性。
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