Prolonged IV antibiotics with an aminoglycoside and third-generation cephalosporin may result in complete resolution. CT scan is necessary to evaluate bony involvement. Otitis Media General. Otalgia, fever, irritability, previous or coexisting URI, ear rubbing, and feeding problems are common presenting symptoms. However, any of the above symptoms, including ear pain and fever, may be absent.
Many episodes are viral in origin.
The most common bacterial pathogens are Pneumococcus, Haemophilus influenzae, and Moraxella catarrhalis. Other findings include bulging of the TM, indistinct landmarks, diminished light reflex, and limited mobility on pneumatic insufflation. Mastoiditis, meningitis, and abscess are possible complications. Of most concern, however, is impairment of hearing associated with middle ear effusion. Tympanometry may be used to establish the presence of fluid in the middle ear.