Is it just itching or is it already running?

Introduction The acute perichondritis arises in most cases by minor injuries of the skin. The most common pathogen is Pseudomonas aeruginosa. Diabetes mellitus should always be ruled out as it can aggravate the infection.

Case report We report a 21-year-old patient who presented with severe otalgia and purulent otorrhea in our clinic as an emergency. The examination showed a strong yellowish crusty efflorescences of the scalp. Further clinical examination revealed multiple exorcations of the skin on the extremities as well as subcutaneous gait-like banding. Due to the clear clinical findings, the diagnosis of a scabies was made.

For the treatment of parasitosis, the patient should have an outpatient procedure. The treatment of acute perichondritis was oral by means of Unacid PD.

Discussion Although it is rare nowadays, even with relatively common clinical pictures, such as perichondritis, a parasitic disease should be considered, accompanied by unclear cutaneous accompanying symptoms. Besides the typical clinical symptoms, e.g. subcutaneous gait structures, the diagnosis is made on the basis of skin samples. Therapy must then include systemic treatment of parasitosis in addition to local treatment of perichondritis

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Publication History

Article published online:
07 August 2020