Necrotizing Pseudomonas chondritis after piercing of the upper ear

Abstract

Contributors: All of the authors contributed substantially to the drafting of the article and approved the final version submitted for publication.

Transcartilaginous ear piercing and infectious complications: A systematic review and critical analysis of outcomes

“…A total of 29 articles met inclusion criteria for this systematic review (Fig. ), and 66 patients were included in the pooled analysis (Table ).…”

“…Overall, mean symptom duration was 26.0 ± 29 days, and the median was 15 days (range: 2–120 days; an outlier of 1,450 days was excluded from the analysis). Many studies (n = 26) reported symptom duration prior to patients seeking medical attention . The mean duration of symptoms prior to patients seeking medical attention was 6.2 ± 5 days, and the median was 6 days (range: 2–17.5 days).…”

“…There was no correlation between symptom duration prior to receiving medical attention and the rate of drain placement, but patients with greater than 5 days of symptoms prior to seeking treatment were more likely to be hospitalized (Table ). A total of 47.8% (33 patients) of cases underwent incision and drainage . Of those, nine patients underwent multiple incision and drainage procedures.…”

Body Piercing

“…Ahmed-Jushuf et al [41] Abscess Mycobacterium fortuitum Horii and Jackson [42] Auricular chondritis and perichondritis Lactobacillus spp. Razavi and Schilling [43] Pseudomonas aeruginosa Keene et al d [44] Lee and Gold [45] Sandhu et al [46] Fisher et al d [47] More et al [48] Turkeltaub and Habal [49] Stewart et al [50] Nonmenstrual toxic shock syndrome…”

“…Simple tears can be sutured under local anesthesia; however, larger defects may require reconstructive surgery. [45,46] Both chondritis and perichondritis have been reported. [41] Transcartilaginous piercings may be complicated by hematoma formation, which may result in cartilage ischemia or a severe deformity commonly referred to as 'cauliflower ear.'…”