Sistla Sujatha, Mohapatra Devi Prasad, Sugumaran Radha, Gupta Saurabh, Thiruvoth Friji Meethale, Reddy Likhitha
Department of Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, 605006 India.
Department of Plastic Surgery, Superspeciality Block, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, 605006 India.
Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):307-310. doi: 10.1007/s12070-020-02080-9. Epub 2020 Aug 26.
Auricular perichondritis leading to perichondral abscess is an unusual complication of periauricular surgery. Early identification of the condition with aggressive and timely management is mandated to prevent permanent damage to the auricle. This article demonstrates the first reported case in literature of auricular perichondritis due to Neisseria flava. We discuss the presentation, diagnosis and management of auricular perichondritis in this patient and review mechanisms by which commensals acquire pathogenicity as seen in this report. An awareness of this unusual etiology and mechanisms of acquiring pathogenic nature by commensals will help guide clinicians in optimizing management of such conditions.
耳廓软骨膜炎导致软骨膜下脓肿是耳周手术罕见的并发症。早期识别该病症并积极及时处理,对于防止耳廓永久性损伤至关重要。本文展示了文献中首例由微黄奈瑟菌引起的耳廓软骨膜炎病例。我们讨论了该患者耳廓软骨膜炎的临床表现、诊断和处理方法,并回顾了如本报告中所见共生菌获得致病性的机制。认识到这种不寻常的病因以及共生菌获得致病特性的机制,将有助于指导临床医生优化对此类病症的处理。