A rare case of tympanostomy tube otorrhea: Pigmentiphaga.

Samuel J Rubin, Claire M Lawlor, Gi Soo Lee

International journal of pediatric otorhinolaryngology 2020 Sep

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Tympanostomy tube otorrhea (TTO) is a common complication of tympanostomy tubes. The most common bacteria associated with TTO include Haemophalis influenza, Moraxella catarrhalis, Streptococcus pneumoniae, Staphylococcus aureus, and Pseudomonas aeruginosa. We present the first case of a 9 year-old female with a history of 22q11 syndrome, hemifacial microsomia, Tetralogy of Fallot, and hearing aid dependence with left-sided profound sensorineural and right-sided moderate conductive hearing loss who presented with TTO caused by the bacteria Pigmentiphaga daeguenesis/kulla, a gram-negative bacteria often found in soil. This patient's otorrhea did not respond to typical otic antibiotic formulations, but was ultimately treated successfully with intramuscular ceftriaxone. We describe the natural history, presentation and management for a case of TTO caused by a rare bacteria from the genus Pigmentiphaga. Copyright © 2020 Elsevier B.V. All rights reserved.

Citation

Samuel J Rubin, Claire M Lawlor, Gi Soo Lee. A rare case of tympanostomy tube otorrhea: Pigmentiphaga. International journal of pediatric otorhinolaryngology. 2020 Sep;136:110165