Bullous myringitis: Difference between revisions

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==Background==
==Background==
*Most commonly caused by S. pneumoniae and same AOM organisms
*Most commonly caused by S. pneumoniae
*Historically strongly associated with pna caused by M. pnuemoniae, but literature suggests it is a rare cause and may deserve same treatment as AOM<ref>Jeng K. Bullous Myringitis. Jan 2015. http://hqmeded.com/bullous-myringitis/</ref>
*Historically strongly associated with pna caused by M. pnuemoniae, but literature suggests it is a rare cause and may deserve same treatment as AOM<ref>Jeng K. Bullous Myringitis. Jan 2015. http://hqmeded.com/bullous-myringitis/</ref>
==Presentation==
*Peds - symptoms more often present in BM than AOM:
**Severe earache
**Fever
**Ear rubbing, more irritability


==Dx==
==Dx==
*Painful fluid filled vesicles on TM
*Painful fluid filled vesicles on TM
*Possible blood effusion
*Possible blood effusion
==Complications==
*TM perforation
*Extension of suppuration to adjacent structures
**Mastoiditis
**Meningitis
**Abscess
**Sigmoid sinus thrombosis
==Management==
*See [[Acute otitis media]]


==Sources==
==Sources==
<references/>
<references/>

Revision as of 19:42, 17 August 2015

Background

  • Most commonly caused by S. pneumoniae
  • Historically strongly associated with pna caused by M. pnuemoniae, but literature suggests it is a rare cause and may deserve same treatment as AOM[1]

Dx

  • Painful fluid filled vesicles on TM
  • Possible blood effusion

Sources

  1. Jeng K. Bullous Myringitis. Jan 2015. http://hqmeded.com/bullous-myringitis/