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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 340:1349-1354 April 29, 1999 Number 17
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Case 13-1999— A 20-Year-Old Woman with Chronic Otitis Media
David M. Vernick, and Suzanne B. Keel

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Presentation of Case

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 trimethoprim–sulfamethoxazole provoked a rash and was discontinued, and a third antibiotic was ineffective. Painless drainage from the . . . [Full Text of this Article]

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Dr. David M. Vernick's Diagnosis

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