Which clinical history findings are characteristic of pneumococcal otitis media?

Updated: Aug 27, 2018
  • Author: Claudia Antonieta Nieves Prado, MD; Chief Editor: John L Brusch, MD, FACP  more...
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Answer

S pneumoniae is the most commonly isolated bacterial pathogen from children and adults with otitis media. Several early studies demonstrated that otitis media due to S pneumoniae is usually accompanied by fever and pain; the fever associated with pneumococcal otitis media tends to be higher than that caused by other common bacterial pathogens. [30] Pneumococcal disease is less likely to resolve spontaneously.

Increasing antibiotic resistance has led to decreased effectiveness of the antibiotics that were once used most commonly to treat otitis media. S pneumoniae infection is the most common cause of mastoiditis, a complication of otitis media that was more common in the pre-antibiotic era; this complication is now more commonly associated with untreated or improperly treated cases.


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