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Central nervous system complications associated with acute otitis media in children
Author(s) -
Friedman Ellen M.,
Mcgill Trevor J. I.,
Healy Gerald B.
Publication year - 1990
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199002000-00008
Subject(s) - otitis , meningitis , medicine , incidence (geometry) , haemophilus , pediatrics , haemophilus influenzae , acute otitis media , central nervous system , pathogen , antibiotics , immunology , microbiology and biotechnology , surgery , biology , bacteria , physics , optics , genetics
The purpose of this article is to review a subset of pedi‐atric patients with otitis media occurring simultaneously with meningitis and other central nervous system diseases. Of the 92 cases reviewed, 61.3% involved patients under 12 months of age. Meningitis associated with otitis media involved 91% of the patients; the remainder had nonmeningi‐tic central involvement. The most striking finding was the high incidence of Haemophilus influenza type‐B, a relatively uncommon pathogen of the middle ear. This finding highlights the need to select antibiotic coverage to adequately treat Haemophilus influenza type‐B.