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A 20-year-old woman was admitted to the hospital because of chronic right otitis media.
The patient had been well until one year earlier, when a "bad cold" developed, with a sore throat. The sore throat subsided after one week, but nasal congestion and the sensation that her ears were blocked persisted for a month. A physician made a diagnosis of sinusitis and prescribed a nasal spray and an unknown antibiotic. The left ear became clear, but the right ear remained symptomatic. Treatment with trimethoprimsulfamethoxazole provoked a rash and was discontinued, and a third antibiotic was ineffective. Painless drainage from the
Differential Diagnosis
Clinical Diagnoses
Dr. David M. Vernick's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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