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病因罕见的耳廓软骨膜炎。

Auricular Perichondritis of an Unusual Etiology.

作者信息

Sistla Sujatha, Mohapatra Devi Prasad, Sugumaran Radha, Gupta Saurabh, Thiruvoth Friji Meethale, Reddy Likhitha

机构信息

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.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):307-310. doi: 10.1007/s12070-020-02080-9. Epub 2020 Aug 26.

Abstract

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.

摘要

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。

相似文献

1
Auricular Perichondritis of an Unusual Etiology.病因罕见的耳廓软骨膜炎。
Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):307-310. doi: 10.1007/s12070-020-02080-9. Epub 2020 Aug 26.
2
Auricular Perichondritis after a "High Ear Piercing:" A Case Report.“高位穿耳”后耳廓软骨膜炎:一例报告
J Educ Teach Emerg Med. 2021 Apr 19;6(2):V30-V33. doi: 10.21980/J8WH16. eCollection 2021 Apr.
8
Perichondritis of the auricle and its management.耳廓软骨膜炎及其治疗
J Laryngol Otol. 2007 Jun;121(6):530-4. doi: 10.1017/S0022215107005877. Epub 2007 Feb 26.
10
Perichondritis of the auricle.耳廓软骨膜炎
Laryngoscope. 1981 Mar;91(3):422-31. doi: 10.1288/00005537-198103000-00013.

本文引用的文献

4
The biology of Neisseria adhesins.奈瑟氏菌黏附素的生物学特性
Biology (Basel). 2013 Jul 29;2(3):1054-109. doi: 10.3390/biology2031054.
5
Perichondritis of the auricle and its management.耳廓软骨膜炎及其治疗
J Laryngol Otol. 2007 Jun;121(6):530-4. doi: 10.1017/S0022215107005877. Epub 2007 Feb 26.
6
Plasmid diversity in neisseriae.奈瑟菌属中的质粒多样性
Infect Immun. 2006 Aug;74(8):4892-9. doi: 10.1128/IAI.02087-05.
10
Plasmids of Neisseria gonorrhoeae and other Neisseria species.淋病奈瑟菌及其他奈瑟菌属细菌的质粒。
Clin Microbiol Rev. 1989 Apr;2 Suppl(Suppl):S18-23. doi: 10.1128/CMR.2.Suppl.S18.

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