Background

Condition Lookup

Sub-Category:

Middle Ear Infections

Number of Conditions: 3

Acute Otitis Media (AOM)

Specialty: Ear

Category: Infectious and Inflammatory Ear Conditions

Sub-category: Middle Ear Infections

Symptoms:
ear pain; fever; difficulty hearing; irritability in children; fluid drainage from the ear; fullness in the ear

Root Cause:
Infection and inflammation of the middle ear, often caused by bacteria (e.g., Streptococcus pneumoniae, Haemophilus influenzae) or viruses, leading to fluid buildup behind the eardrum.

How it's Diagnosed: videos
Diagnosed by otoscopic findings of a bulging tympanic membrane.

Treatment:
Treated with antibiotics (e.g., amoxicillin).

Medications:
Amoxicillin (antibiotic, first-line treatment), or amoxicillin-clavulanate for resistant cases; analgesics such as acetaminophen or ibuprofen for pain relief.

Prevalence: How common the health condition is within a specific population.
Common in children, affecting up to 75% by the age of 3 years; less common in adults.

Risk Factors: Factors or behaviors that increase the likelihood of developing the condition.
Young age, daycare attendance, bottle-feeding, upper respiratory infections, exposure to tobacco smoke, family history.

Prognosis: The expected outcome or course of the condition over time.
Typically resolves with treatment; most children recover fully, though recurrent episodes are possible.

Complications: Additional problems or conditions that may arise as a result of the original condition.
Hearing loss, tympanic membrane perforation, mastoiditis, meningitis (rare).

Chronic Suppurative Otitis Media (CSOM)

Specialty: Ear

Category: Infectious and Inflammatory Ear Conditions

Sub-category: Middle Ear Infections

Symptoms:
persistent ear discharge (otorrhea); hearing loss; fullness in the ear; occasional ear pain; foul-smelling ear drainage

Root Cause:
Chronic infection of the middle ear and mastoid with tympanic membrane perforation, often due to untreated or recurrent acute otitis media.

How it's Diagnosed: videos
Diagnosed by persistent ear discharge and tympanic membrane perforation.

Treatment:
Treated with topical antibiotics and sometimes surgical repair.

Medications:
Ciprofloxacin ear drops (antibiotic, for localized treatment), or systemic antibiotics in severe cases; corticosteroid ear drops for inflammation.

Prevalence: How common the health condition is within a specific population.
Higher prevalence in low-resource settings, affecting 1-5% of the global population, with a higher burden in children.

Risk Factors: Factors or behaviors that increase the likelihood of developing the condition.
Recurrent or untreated AOM, poor hygiene, crowded living conditions, and inadequate medical care.

Prognosis: The expected outcome or course of the condition over time.
Variable; with proper treatment, the infection can be controlled, but untreated cases may lead to complications.

Complications: Additional problems or conditions that may arise as a result of the original condition.
Hearing loss, mastoiditis, cholesteatoma, intracranial infections such as meningitis or brain abscess.

Otitis Media with Effusion (Glue Ear)

Specialty: Ear

Category: Infectious and Inflammatory Ear Conditions

Sub-category: Middle Ear Infections

Symptoms:
hearing loss; feeling of fullness in the ear; speech delay in children; balance problems

Root Cause:
Non-infectious fluid accumulation in the middle ear due to eustachian tube dysfunction, often following an upper respiratory infection or AOM.

How it's Diagnosed: videos
Diagnosed with pneumatic otoscopy and tympanometry.

Treatment:
Treated with watchful waiting, and tympanostomy tubes in persistent cases.

Medications:
No specific medications for the condition itself; antihistamines or decongestants may be used if related to allergies, though evidence for their efficacy is limited.

Prevalence: How common the health condition is within a specific population.
Affects up to 80% of children by the age of 10; more common in children than adults.

Risk Factors: Factors or behaviors that increase the likelihood of developing the condition.
Young age, daycare attendance, exposure to tobacco smoke, allergies, family history, and recurrent upper respiratory infections.

Prognosis: The expected outcome or course of the condition over time.
Most cases resolve spontaneously; surgical intervention can restore normal hearing in chronic cases.

Complications: Additional problems or conditions that may arise as a result of the original condition.
Hearing loss, speech and language delays, recurrent infections, potential impact on academic and social development.