This is inflammation and infection of the middle ear (just behind the eardrum) caused by poor drainage of fluid through the Eustachian tube towards the throat.
It is therefore not unusual for otitis to start not long after a cold, especially in babies and children.
Symptoms include severe pain in the ears (otalgia), generally feeling unwell, vomiting, hearing loss in the affected ear and fever (in children under 2 years).
Diagnosis is made by performing a clinical examination and using an otoscope.
It is treated with anti-inflammatories and antibiotics, depending on the doctor’s recommendation, to prevent the progression of the disease and complications. If a sudden discharge of yellow or green fluid from the ear is reported, it may mean that there is an eardrum rupture, so you should go to your doctor immediately.
- Charles J Limb. Lawrence R Lustig. Jerome O Klein. Acute otitis media in adults (suppurative and serous). UpToDate. Oct 17, 2014.
- Benninger MS. Acute bacterial rhinosinusitis and otitis media: changes in pathogenicity following widespread use of pneumococcal conjugate vaccine. Otolaryngol Head Neck Surg 2008; 138:274.
- Jerome O Klein. Stephen Pelton. Acute otitis media in children: Epidemiology, microbiology, clinical manifestations, and complications. UpToDate. Sep 29, 2016.
- Casey JR, Pichichero ME. Changes in frequency and pathogens causing acute otitis media in 1995-2003. Pediatr Infect Dis J 2004; 23:824.
- Mensa J. Infecciones en otorrinolaringología. Farreras Rozman. Medicina Interna. Volumen 2. 12º edición: 2501.
- Rubin MA. Ford LC, Gonzales R. Faringitis, otalgia y síntomas de la porción superior de las vías respiratorias. Harrison. Principios de Medicina Interna. Volumen 1. 19º Edición: 228-231.
- Walter Becker, Hans Heinz Naumann, Carl Rudolf Pfaltz. Otitis media aguda. Otorrinolaringología. Manual ilustrado. Segunda edición. Páginas 55-57.
