Significant physical findings:
Right facial edema and right-sided neck edema were noted. There was marked nuchal rigidity. Mucopurulent discharge was oozing from the right ear. The patient refused to move his lower extremities secondary to back pain. Somnolence was noted, but the patient would follow verbal commands when stimulated. There were no cranial nerve deficits other than audition. Sensation was intact, DTR 2/4.
Medscape Pediatrics. 2003;5(2) © 2003 Medscape
Cite this: Case #7 -- Acute Illness in a Patient With Recurrent Ear Infections - Medscape - Aug 29, 2003.