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עמוד בית
Mon, 02.12.24

Original Articles

IMAJ | volume 13

Journal 1, January 2011
pages: 21-24

Perichondritis of the Auricle: Analysis of 114 Cases

    Summary

     

    Background: 

    Perichondritis of the auricle is a serious disease that may lead to residual deformity. 

    Objectives:

    To assess our experience with perichondritis in a large group of patients hospitalized with this entity.

    Methods: 

    We retrospectively studied 114 patients who were admitted with perichondritis during 1987–2004, including their demographic details, medical history, current illness, etiology, pathogens and treatments. 

    Results: 

    The patients’ mean age was 41.8 ± 20.7 years. In more than half of the patients the etiology could not be determined. Forty-seven patients (41%) were treated prior to hospitalization for an average of 2.5 ± 1.9 days. Eight patients (7%) required surgical intervention. Pseudomonas aeruginosa was found to be the predominant organism (69% of available isolates) and was associated with a more advanced clinical presentation and longer hospitalization (P = 0.008). 

    Conclusions: 

     Perichondritis develops in many cases after apparent minor trauma. Since P. aeruginosa is probably the predominant pathogen, initial treatment should include anti-pseudomonal antibiotics.

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