Question

Acute suppurative otitis media

Hint:

Early antibiotic treatment and pain management are key to managing acute suppurative otitis media and preventing complications.

Answer 1

Step 1: Understanding acute suppurative otitis media (ASOM).
Acute suppurative otitis media (ASOM) is an infection of the middle ear characterized by the presence of purulent discharge in the ear canal. It is commonly caused by bacterial infections such as Streptococcus pneumoniae, Haemophilus influenzae, or Moraxella catarrhalis. It typically follows an upper respiratory tract infection and can lead to pain, fever, and hearing loss if untreated.

Step 2: Clinical presentation.
- Pain: Ear pain is usually severe and associated with fever. The child may tug at the affected ear.
- Discharge: Purulent discharge may be seen if the tympanic membrane ruptures.
- Hearing Loss: Conductive hearing loss can occur due to the infection and fluid accumulation in the middle ear.

Step 3: Management.
- Antibiotics: First-line treatment involves oral antibiotics such as amoxicillin or amoxicillin-clavulanate, depending on the suspected pathogen.
- Pain Management: Analgesics such as acetaminophen or ibuprofen are used for pain relief.
- Surgical Intervention: In severe cases, especially with complications like mastoiditis, myringotomy (surgical drainage) may be necessary.

Step 4: Conclusion.
ASOM is a treatable condition, but if left untreated, it can lead to serious complications such as mastoiditis or hearing loss. Timely antibiotic therapy and supportive care are essential.