{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:10:05Z","timestamp":1756314605122,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,3]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>A male infant presented with reduced oral intake, low-grade fever and postauricular erythema. Clinical examination revealed a soft, tender swelling posteroinferior to the mastoid tip with a dull tympanic membrane on otoscopy. Cross-sectional imaging did not show any evidence of middle ear infection or mastoiditis. However, there was minimal change in clinical status despite trialling various intravenous antibiotics. One week after admission, a thin, white foreign body self-extruded from the upper part of the postauricular skin, recognised by the child\u2019s parents as a feather from their sofa cushion. The suspected mechanism was the penetration of the feather into the skin when the child was lying on the sofa. While incredibly rare, soft tissue foreign bodies should be considered in paediatric patients with postauricular swelling not responding to antibiotics.<\/jats:p>","DOI":"10.1136\/bcr-2024-261885","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T11:56:05Z","timestamp":1738065365000},"page":"e261885","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Postauricular feather foreign body in an infant"],"prefix":"10.1136","volume":"18","author":[{"given":"Aayushi","family":"Hemmad","sequence":"first","affiliation":[{"name":"Ear, Nose and Throat, James Cook University Hospital, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7735-1875","authenticated-orcid":false,"given":"Ayla Serena","family":"Tabaksert","sequence":"additional","affiliation":[{"name":"Ear, Nose and Throat, James Cook University Hospital, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Ashley","family":"Lowe","sequence":"additional","affiliation":[{"name":"Ear, Nose and Throat, James Cook University Hospital, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"2025082709570922000_18.1.e261885.1","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-200005001-00007"},{"key":"2025082709570922000_18.1.e261885.2","doi-asserted-by":"publisher","DOI":"10.1177\/0009922813482517"},{"key":"2025082709570922000_18.1.e261885.3","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.pedex.2012.03.001","article-title":"\u2018Is it a bird? No it\u2019s a feather!\u2019 Parotid abscesses and the perils of feather pillows","volume":"7","author":"Pilgrim","year":"2012","journal-title":"Int J Pediatr Otorhinolaryngol Extra"},{"key":"2025082709570922000_18.1.e261885.4","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1177\/0145561318823649","article-title":"Bird Feather in the Neck: An Unusual Cause of a Neck Infection","volume":"98","author":"Wolter","year":"2019","journal-title":"Ear Nose Throat J"},{"key":"2025082709570922000_18.1.e261885.5","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813490897"},{"key":"2025082709570922000_18.1.e261885.6","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1016\/j.anl.2020.05.021","article-title":"Feather foreign body caused periparotid and peritonsillar abscess in a 9-month-old girl","volume":"48","author":"Gabelica","year":"2021","journal-title":"Auris Nasus Larynx"},{"key":"2025082709570922000_18.1.e261885.7","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1111\/jpc.16463","article-title":"An unusual cause of paratracheal mass in a 14-month-old girl: A case report","volume":"59","author":"Coretti","year":"2023","journal-title":"J Paediatr Child Health"},{"key":"2025082709570922000_18.1.e261885.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2008.07.007"},{"key":"2025082709570922000_18.1.e261885.9","doi-asserted-by":"crossref","DOI":"10.1177\/2333794X16646697","article-title":"Pillow Feather-Associated Unusual Neck Complication in a Young Child","volume":"3","author":"Ubaidulhaq","year":"2016","journal-title":"Glob Pediatr Health"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-261885","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:57:19Z","timestamp":1756313839000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-261885"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,28]]},"published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1136\/bcr-2024-261885"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-261885","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}