What is the role of bullous myringitis in mycoplasmal pneumonia?

Updated: Dec 28, 2018
  • Author: Michael Joseph Bono, MD, FACEP; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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Answer

M pneumoniae has long been associated with bullous myringitis, but this has been largely disproven. Bullous myringitis is defined as the appearance of vesicles or bulla on the tympanic membrane. Several studies and extensive reviews have refuted the claim that bullous myringitis is pathognomonic for M pneumoniae. [23, 24] In fact, M pneumoniae is rarely cultured from bullae on the tympanic membrane. Common middle ear pathogens in the clinical presentation of otitis media are much more commonly associated with tympanic membrane bullae. [25, 26, 27, 28]


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