Matthew has had frequent ear infections since he was born. His pediatrician has recently stated he has some seasonal allergies
a. Discuss what otitis media is and what it is.
b. What is the usual treatment for otitis media?
c. What etiology do you expect to see?
d. What are the possible complications?
Students' answers should include the following:
a. Otitis media is a middle ear inflammation and infection, which may be acute or chronic.
Can be serous, purulent, or suppurative in type
Can develop into middle ear infections; usually affects children, infants, and toddlers, but adults may also develop middle ear infections
Adults usually have otitis media on one side.
Eardrum may rupture from pressure buildup.
b. Treatment is antibiotic for infection.
May include myringoplasty, myringotomy, or tympanotomy
c. S/s include recent allergic reaction with respiratory issues, fever, tinnitus, malaise, severe earache, and diminished hearing.
WBC count shows elevated eosinophils and neutrophils.
Serous otitis media is pathogen-free fluid behind tympanic membrane; from respiratory allergies and enlarged adenoids.
Purulent otitis media is caused from pathogens or microorganisms from the middle ear to the eustachian tube during respiratory infections from Streptococcus pneumoniae or Haemophilus influenzae.
d. Complications such as mastoiditis or labyrinthitis, or even extension into the meninges, causing meningitis, or brain abscess can occur.
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