CASE REPORT
A 3-year old male child presented to one of the remote dispensaries with
a history of 6-months ulcerative lesions involving the external ear.
Lesions were painful and were accompanied by a history of recurrent
non-foul smelling ipsilateral otorrhoea. The kid had no history of fever
or night sweats, history of trauma involving the external ear or
gastrointestinal complaints.
On examination, he was malnourished and the ear had necrotic skin
overlying the pinna and multiple papules with some being pus filled.
The patient was subjected to laboratory work ups; Hemoglobin was 13g/dl,
HIV negative. Histopathological analysis of the lesions and
immunological work ups such as purified protein derivative, venereal
disease research laboratory were not done due to remoteness of health
facility. Serum albumin and globulin were not ordered because of the
same reason despite the child being malnourished. Clinical diagnosis of
PG of the external ear was made. (Figure 1 and 2)
The patient received; Intramuscular triamcinolone 40mg stat,
prednisolone tablets where 10mg once daily for 7 days was provided and
then tapered to 5mg once daily for 7 days, betamethasone cream which was
applied topically over the ulcerated external ear, syrup
ampicillin+cloxacillin 250mg administered 8-hourly for 7 days and boric
acid ear drops were applied 4hourly for 7 days. The patient was followed
up for 6-months with no recurrence. (Figure 3)