Auditory canal furuncle H60.0

Very painful boils of the hair follicles in the cartilaginous part of the auditory canal. Mostly unilateral.

Incorrect, unsuitable cleaning of the auditory canal, maceration due to frequent baths.

Curved, reddened skin, central purulent clot. Pressure on the tragus and traction on the auricle are very painful.

Parotid involvement, perichondritis of the pinna, meningitis.

Careful cleaning of the auditory canal. Insert gauze strips with alcoholic or other antiseptic additives such as polihexanide (Serasept, Prontoderm, eosin disodium solution, ethanol containing 0.5/1/2% ) or methylrosanilinium chloride solution. Later, gauze strips with antibiotic-containing ointment/cream, e.g. gentamicin cream 0.1%(gentamicin cream 0.1%) are inserted.

Remarks: Dye-containing external preparations are increasingly avoided (see also Otitis Externa (infectiosa).

In severe cases penicillinase-resistant penicillins such as Dicloxacillin (e.g. InfectoStaph Kps.): Dosage: Adults: 2-3 g/day p.o. in 4-6 ED; children: 2 g/day in 4 ED. In case of severe infections doubling of the dose is possible.

If necessary, use analgesics such as paracetamol (e.g. ben-u-ron Supp. 2-3 times/day 125 mg each for infants, 250 mg for toddlers, 500 mg for children, 1000 mg from the age of 14).

Remember! In case of recurrent furunculosis exclude diabetes mellitus and immunosuppressive diseases!