July 24, 1967

Bullous Myringitis and Atypical Pneumonia

JAMA. 1967;201(4):273. doi:10.1001/jama.1967.03130040069028

To the Editor:—  Ear involvement in primary atypical pneumonia was observed by Curnen et al, who recorded two instances of nonsuppurative otitis media among 106 patients.1 Among 52 volunteers infected with Mycoplasma pneumoniae, Rifkind et al reported 13 with myringitis.2 Two had hemorrhagic bullous myringitis, one with and the other without primary atypical pneumonia. Two children with unilateral otitis media and one child with unilateral bullous myringitis with M pneumoniae infection were reported by Sobeslavsky et al.3 These three patients had upperrespiratory tract infection, but no pneumonia. Thus there have been only three cases of bullous myringitis due to M pneumoniae reported: two due to experimental infection and one due to natural infection.

Report of a Case:—  A 50-year-old white man was admitted to the hospital on June 5, 1966, with a history of fever, cough, and a tight feeling in the chest for ten days. He