The Israel Medical Association journal : IMAJ · 2011
Perichondritis of the auricle: analysis of 114 cases.
СтатьяНазвание и аннотация: Перевод в очереди
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Davidi Erez, Paz Alona, Duchman Hava, Luntz Michal, Potasman Israel
Аннотация
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.
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.