Bullous myringitis: Difference between revisions
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*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 18:36, 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
Complications
- TM perforation
- Extension of suppuration to adjacent structures
- Mastoiditis
- Meningitis
- Abscess
- Sigmoid sinus thrombosis
Management
Sources
- ↑ Jeng K. Bullous Myringitis. Jan 2015. http://hqmeded.com/bullous-myringitis/