A 25-year-old lady came in complaining of severe pain in her right ear. She got her ear pierced 3 days before the presentation, and it had become sensitive 2 days afterwards.
The sensitivity and accompanying throbbing discomfort were becoming steadily worse. The patient, who had previously had her ears pierced, denied having a fever, chills, or recently traveling abroad.
She was quite clean since she showered often and went to the gym often. A red, swollen ear was palpable during the physical examination (FIGURE).
Everything save the earlobe was swelled on the auricle. It was also seen that the helical puncture site was discharging purulent material.
The recommended dosage of ciprofloxacin is 500 mg twice day. Infected piercing sites and auricular perichondritis owing to pseudomonal infection will not react to oral cephalosporin, penicillin.
Or erythromycin, however these antibiotics are effective against many other types of skin infections. Reason being, Pseudomonas are less likely to be covered by these drugs than Staphylococci or other bacteria more often linked to skin diseases.
Disfigurement and time lost during treatment with an antibiotic like amoxicillin and clavulanic acid or oral cephalexin are real concerns.
In cases with fluctuancy, surgical procedures such as incision and drainage or even debridement may be required.
When severe infection causes necrosis and liquefaction of cartilage, therapy is challenging and may result in permanent deformity.
Treatment based on immediate observation and experience is the current gold standard.6 Our patient was given a 10-day regimen of 500 mg of ciprofloxacin to be taken every 12 hours. Within 2 days, she felt better, and the infection completely cleared up.