|Pseudomonas aeruginosa necrotizing chondritis after ear piercing
Auricular or high helical ear piercing is an increasingly widespread fashion trend. Following this trend one must be aware of an increased risk of potentially serious post-piercing complications such as auricular perichondritis. Especially Pseudomonas aeruginosa is one of the most dangerous complications, as this case report shows...|
|An 11-year-old girl developed severe auricular perichondritis following piercing of the upper helical cartilage of her ear at a hairdressing salon. Four days post piercing, she returned to the same salon for a haircut during which the pierced site was manipulated.
She presented to her family physician and was treated unsuccessfully with oral cephalexin.
She was then referred to an infectious diseases consultant and received antipseudomonal intravenous antibiotics with subsequent resolution.
She also required debridement and removal of necrotic cartilage.
Public health investigation evaluated potential sources of infection including the piercing gun, disinfectant solutions, and hair cutting spray water bottles.
Final culture results of the ear helical aspirate grew Pseudomonas aeruginosa. Pseudomonas aeruginosa was also cultured from one of the water bottles used to wet her hair during the haircut.
Although the pseudomonal strains from the water bottle were different than the infecting one, this contamination presents a potential source of wound infection. Damage to the helical cartilage caused by the piercing gun may also have contributed to this infection.
Initial empiric antibiotic therapy for these kinds of infection must include anti-pseudomonal coverage. Auricular or high helical ear piercing using a piercing gun is not recommended.
Source: Sandhu A, Gross M, Wylie J, Van Caeseele P, Plourde P.(2007): Pseudomonas aeruginosa necrotizing chondritis complicating high helical ear piercing case report: clinical and public health perspectives. In: Can J Public Health. 2007 Jan-Feb;98(1):74-7.
Tell a friend
Send this article
Architecture of extraocular muscles in hawks and owlsLeishmania spp. in Bats from an Area Endemic for Visceral LeishmaniasisPharmacokinetics of quinocetone in ducks after two routes of administrationNovel antibiotic treatment of zebrafish mycobacteriosisCanine mammary tumours as model for hereditary breast cancer susceptibility genes in humansTreatment of corneal ulceration in stranded California sea lions Effects of substrates and stress on placental metabolismVaccine regimens against caecal Salmonella Typhimurium colonisation in laying hensPresumptive keratoglobus in a raptorMonitored, controlled long-term anaesthesia in broiler chickenPharmacokinetics of cefovecin in alpacasUse and effect of hand antiseptics in veterinary practice