otitis%20media%20-%20acute
OTITIS MEDIA - ACUTE
Otitis media is a general term used to describe inflammation of the middle ear which may be caused by an acute infection.
The symptoms are usually nonspecific and include otalgia (pulling of ear in an infant), irritability, otorrhea with or without fever.
Symptoms of upper respiratory tract infection may also be present.

Diagnosis

  • Diagnosis of acute otitis media (AOM) requires a history of acute onset of signs & symptoms, signs & symptoms of middle ear inflammation, & confirmation of middle ear effusion (MEE)

History

  • History alone is a poor predictor of the presence of acute otitis media (AOM)
  • Signs & symptoms are usually nonspecific
  • Viral upper respiratory tract infection (URTI) symptoms may be present before or during AOM

Physical Examination

Presence of middle ear effusion (MEE)

  • MEE can be confirmed by direct visualization of the tympanic membrane by otoscopy or pneumatic otoscopy
  • Presence of MEE is indicated by any of the following:
    • Bulging tympanic membrane w/ loss of normal landmarks
    • Opacification or cloudiness of tympanic membrane
    • Absent or limited mobility of tympanic membrane w/ pneumatic pressure
    • Otorrhea (positive purulence is associated w/ rupture of tympanic membrane)
    • Air-fluid level behind the tympanic membrane
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Infectious Diseases - Malaysia digital copy today!
DOWNLOAD
Editor's Recommendations
Most Read Articles
13 Oct 2017
Use of systemic antibiotics, in conjunction with performance of incision and drainage, in the management of paediatric acute skin and soft tissue infection (SSTI) appears to reduce Staphylococcus aureus colonization and the likelihood of infection recurrence, a prospective study has found.
12 Oct 2017
Retreatment with ledipasvir and sofosbuvir with add-on ribavirin appears to be effective and well tolerated in genotype 1 hepatitis C virus (HCV)-infected patients who have failed to respond to daclatasvir/asunaprevir combination therapy, according to a study.
5 days ago
Excessive intake of the mineral manganese can be toxic to the heart, according to a new study.