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Infected ear cartilage (perichondritis)

Also called: Perichondritis, infected ear cartilage

Infection of the outer ear cartilage, often after high ear piercing, causing a red, swollen, painful ear.

Common afterUpper ear piercing

Symptoms

Common signs:

  • Red, swollen, painful outer ear

Less common

  • Fever

When to get medical care

Call 911Spreading swelling with fever.
Get care todayRed swollen ear.
See a doctor soonSymptoms that last or keep coming back.

Causes

Bacteria.

Does it spread or run in families?

  • The illness itself usually isn't passed to others, but some germs that cause it can spread.
  • Washing hands often helps.

Who is more likely to get it

  • Ear piercing

Diagnosis

A clinician asks about your symptoms and may order tests.

The exam

A physical exam.

Tests

Tests, if needed:

  • Exam:

Treatment

Treatment depends on the cause and how severe it is.

Self-care

  • Take all antibiotics
  • Use warm compresses

Medicines

Medicines that may help:

MedicineHelps withGood to know
Antibiotics
Infection

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

To lower your risk or prevent problems:

  • Use clean piercing studios

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to an ENT doctor (ear, nose, and throat doctor).

Children, pregnancy, and older adults

  • People with high ear piercings: Higher risk.

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Some infections can pass to the baby during pregnancy or birth. Tell your provider if you've been exposed.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Most cure with antibiotics.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

  • A list of your medicines and supplements
  • Notes on when symptoms started and what makes them better or worse

Questions to ask

  • What's causing this?
  • What treatment do you recommend?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Infected ear cartilage (perichondritis)

Sources

Last updated 2026-11-12.