Pastrana Echevarria Itzamar, Figueroa Moreda Alejandra M, Rodríguez Martínez Maria G, Sánchez Colón Nestor
Internal Medicine, Universidad Central del Caribe, Bayamón, PRI.
Family Medicine, School of Medicine Medical Sciences Campus, San Juan, PRI.
Cureus. 2025 May 18;17(5):e84359. doi: 10.7759/cureus.84359. eCollection 2025 May.
Infectious eczematoid dermatitis (IED) is a rare and often underrecognized inflammatory skin condition, particularly in pediatric patients. We present the case of a previously healthy 12-year-old Hispanic child with erythematous, scaly, and pruritic plaques involving the tragus, antitragus, external auditory meatus and lobule of both ears. The lesions were initially treated with topical fluocinolone acetonide prescribed by an otolaryngologist, without clinical improvement. Upon evaluation in our dermatology clinic, a skin culture revealed as the causative organism. The patient was treated with ciprofloxacin, selected based on antibiotic sensitivity, along with mometasone furoate 0.1% cream to address both infectious and inflammatory components. On follow-up, the lesions showed improvement; however, the patient was later lost to follow-up. This case highlights the need to consider IED in children with refractory eczematous eruptions.
感染性湿疹样皮炎（IED）是一种罕见且常未被充分认识的炎症性皮肤病，尤其是在儿科患者中。我们报告一例先前健康的12岁西班牙裔儿童病例，其双耳的耳屏、对耳屏、外耳道和耳垂出现红斑、鳞屑和瘙痒性斑块。病变最初由耳鼻喉科医生开具外用丙酮缩氟氢羟龙治疗，但无临床改善。在我们皮肤科诊所评估时，皮肤培养显示 为致病微生物。根据抗生素敏感性选择环丙沙星对患者进行治疗，并联合使用0.1%糠酸莫米松乳膏以解决感染和炎症成分。随访时，病变有所改善；然而，该患者后来失访。该病例强调了在患有难治性湿疹样皮疹的儿童中需要考虑感染性湿疹样皮炎。
