Author Affiliation: Dr Paradise is Professor of Pediatrics, Family Medicine and Clinical Epidemiology, and Otolaryngology, University of Pittsburgh School of Medicine and attending physician, Children's Hospital of Pittsburgh, Pittsburgh, Pa.
Clinical Crossroads Section Editor: Margaret
A. Winker, MD, Deputy Editor.
DR REYNOLDS: Sam is a 15-month-old child who
has recurrent otitis media. He lives near Boston with his mother, father,
and a healthy older brother, aged 2 years 9 months. Sam is cared for at home
while his parents are at work.
Born at term in October 2000 by elective repeat cesarean delivery to
a healthy 37-year-old gravida 2, para 2 mother after an uncomplicated pregnancy,
Sam had a normal hearing screen at birth. At the age of 5 months he had his
first episode of acute otitis media, manifested by spontaneous perforation
and draining of pus from the left ear. He was treated with amoxicillin, 80
mg/kg per day, and his eardrum was found intact at a subsequent visit.
Paradise JL. A 15-Month-Old Child With Recurrent Otitis Media. JAMA. 2002;288(20):2589-2598. doi:10.1001/jama.288.20.2589