External Otitis: An Unusual Presentation in Neonates

Acute otitis externa (AOE) is an infection of the external auditory canal, the auricle, and the outer surface of the tympanic membrane. Although AOE is one of the most common otologic conditions encountered in pediatric population, it is known to primarily affect children older than 2 years. We repo...

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Main Authors: Peymaneh Alizadeh Taheri, Shima Rostami, Manelie Sadeghi
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2016/7381564
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author Peymaneh Alizadeh Taheri
Shima Rostami
Manelie Sadeghi
author_facet Peymaneh Alizadeh Taheri
Shima Rostami
Manelie Sadeghi
author_sort Peymaneh Alizadeh Taheri
collection DOAJ
description Acute otitis externa (AOE) is an infection of the external auditory canal, the auricle, and the outer surface of the tympanic membrane. Although AOE is one of the most common otologic conditions encountered in pediatric population, it is known to primarily affect children older than 2 years. We report a case of AOE caused by Staphylococcus aureus in a 23-day-old neonate. A 23-day-old female infant presented to our neonatology clinic with irritability and discharge from the right ear. There were yellow otorrhea, mild erythema, and edema of right external ear canal. There was no sign of otitis media on otoscopy. The results of laboratory tests were insignificant. The discharge culture grew colonies of methicillin-sensitive Staphylococcus aureus. After 48 hours of treatment with intravenous cloxacillin, significant improvement was observed. The present case highlights an unusual presentation of staphylococcal infection in a neonate. This is the first case of methicillin-sensitive Staphylococcus aureus otitis externa in an immunocompetent newborn.
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spelling doaj-art-e66ecbbd5cf14614826ee0d050e9f2692025-02-03T05:54:39ZengWileyCase Reports in Infectious Diseases2090-66252090-66332016-01-01201610.1155/2016/73815647381564External Otitis: An Unusual Presentation in NeonatesPeymaneh Alizadeh Taheri0Shima Rostami1Manelie Sadeghi2Pediatrics Department, Tehran University of Medical Sciences, Tehran, IranPediatrics Department, Tehran University of Medical Sciences, Tehran, IranPediatrics Department, Tehran University of Medical Sciences, Tehran, IranAcute otitis externa (AOE) is an infection of the external auditory canal, the auricle, and the outer surface of the tympanic membrane. Although AOE is one of the most common otologic conditions encountered in pediatric population, it is known to primarily affect children older than 2 years. We report a case of AOE caused by Staphylococcus aureus in a 23-day-old neonate. A 23-day-old female infant presented to our neonatology clinic with irritability and discharge from the right ear. There were yellow otorrhea, mild erythema, and edema of right external ear canal. There was no sign of otitis media on otoscopy. The results of laboratory tests were insignificant. The discharge culture grew colonies of methicillin-sensitive Staphylococcus aureus. After 48 hours of treatment with intravenous cloxacillin, significant improvement was observed. The present case highlights an unusual presentation of staphylococcal infection in a neonate. This is the first case of methicillin-sensitive Staphylococcus aureus otitis externa in an immunocompetent newborn.http://dx.doi.org/10.1155/2016/7381564
spellingShingle Peymaneh Alizadeh Taheri
Shima Rostami
Manelie Sadeghi
External Otitis: An Unusual Presentation in Neonates
Case Reports in Infectious Diseases
title External Otitis: An Unusual Presentation in Neonates
title_full External Otitis: An Unusual Presentation in Neonates
title_fullStr External Otitis: An Unusual Presentation in Neonates
title_full_unstemmed External Otitis: An Unusual Presentation in Neonates
title_short External Otitis: An Unusual Presentation in Neonates
title_sort external otitis an unusual presentation in neonates
url http://dx.doi.org/10.1155/2016/7381564
work_keys_str_mv AT peymanehalizadehtaheri externalotitisanunusualpresentationinneonates
AT shimarostami externalotitisanunusualpresentationinneonates
AT maneliesadeghi externalotitisanunusualpresentationinneonates