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A girl aged 3 years with leucocyte adhesion deficiency type I presented with a 1 day history of pain and drainage in her right ear. On examination, tender erythema was observed in the right postauricular region. The right eardrum was not visible as the canal was obstructed by granulation tissue. Blood tests on admission showed marked leucocytosis (42×103/mL). Erythrocyte sedimentation rate of 1 hour and 2 hours were 109 and 132 mm, respectively. Pseudomonas aeruginosa was identified from ear …
Contributors The case for this manuscript was identified by J-WC. Y-JC, W-HW, J-WC were involved in managing the case. K-NL performed simple mastoidectomy for the patient. Photographs and radiographic images were selected and annotated by J-WC. The manuscript was drafted by Y-JC.
Funding None declared.
Competing interests None declared.
Patient consent Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.