Bullous myringitis: Difference between revisions
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*Most commonly caused by S. pneumoniae and same AOM organisms | *Most commonly caused by S. pneumoniae and same AOM organisms | ||
*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== | ||
Revision as of 18:32, 17 August 2015
Background
- Most commonly caused by S. pneumoniae and same AOM organisms
- 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]
Presentation
- Peds - symptoms more often present in BM than AOM:
- Severe earache
- Fever
- Ear rubbing, more irritability
Dx
- Painful fluid filled vesicles on TM
- Possible blood effusion
Sources
- ↑ Jeng K. Bullous Myringitis. Jan 2015. http://hqmeded.com/bullous-myringitis/