Bullous myringitis

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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/