Bullous myringitis

A case-control study

David P. McCormick, Kokab A. Saeed, Carmen Pittman, Constance D. Baldwin, Norman Friedman, Davis C. Teichgraeber, Tasnee Chonmaitree

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Prior studies have shown that bullous myringitis (BM) accounts for <10% of acute otitis media (AOM) cases, and that the distribution of viral and bacterial pathogens in BM is similar to that in AOM without BM, except for a relative increase in the proportion of Streptococcus pneumoniae in BM. We studied 518 cases of AOM in children aged 6 months to 12 years. Using teleotoscopy to assist the diagnosis, we identified 41 cases (7.9%) with BM. Children who had AOM with BM were older than AOM patients without BM (median age: 4.3 years vs 18 months). We compared 41 cases of AOM with BM to 41 control cases of age-, race-, and gender-matched AOM patients without BM. When compared with this matched control group, children with BM had more severe symptoms at the time of diagnosis and were more likely to have bulging of the tympanic membrane in the quadrants that were not obscured by the bulla. Children with AOM and BM may require aggressive pain management. Although parents and clinicians may agree that a watchful waiting approach is appropriate for older children with mild AOM, children experiencing painful AOM with BM may not be successful candidates for a watchful-waiting approach, because parents may resist postponement of antibiotic therapy in children who are more symptomatic.

Original languageEnglish (US)
Pages (from-to)982-986
Number of pages5
JournalPediatrics
Volume112
Issue number4
DOIs
StatePublished - Oct 2003

Fingerprint

Otitis Media
Case-Control Studies
Watchful Waiting
Parents
Tympanic Membrane
Pain Management
Blister
Streptococcus pneumoniae
Research Design
Anti-Bacterial Agents
Control Groups

Keywords

  • Acute otitis media
  • Bullous myringitis
  • Case-control
  • Child
  • Diagnosis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

McCormick, D. P., Saeed, K. A., Pittman, C., Baldwin, C. D., Friedman, N., Teichgraeber, D. C., & Chonmaitree, T. (2003). Bullous myringitis: A case-control study. Pediatrics, 112(4), 982-986. https://doi.org/10.1542/peds.112.4.982

Bullous myringitis : A case-control study. / McCormick, David P.; Saeed, Kokab A.; Pittman, Carmen; Baldwin, Constance D.; Friedman, Norman; Teichgraeber, Davis C.; Chonmaitree, Tasnee.

In: Pediatrics, Vol. 112, No. 4, 10.2003, p. 982-986.

Research output: Contribution to journalArticle

McCormick, DP, Saeed, KA, Pittman, C, Baldwin, CD, Friedman, N, Teichgraeber, DC & Chonmaitree, T 2003, 'Bullous myringitis: A case-control study', Pediatrics, vol. 112, no. 4, pp. 982-986. https://doi.org/10.1542/peds.112.4.982
McCormick DP, Saeed KA, Pittman C, Baldwin CD, Friedman N, Teichgraeber DC et al. Bullous myringitis: A case-control study. Pediatrics. 2003 Oct;112(4):982-986. https://doi.org/10.1542/peds.112.4.982
McCormick, David P. ; Saeed, Kokab A. ; Pittman, Carmen ; Baldwin, Constance D. ; Friedman, Norman ; Teichgraeber, Davis C. ; Chonmaitree, Tasnee. / Bullous myringitis : A case-control study. In: Pediatrics. 2003 ; Vol. 112, No. 4. pp. 982-986.
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