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Clinical Crossroads
Clinician's Corner
November 27, 2002

A 15-Month-Old Child With Recurrent Otitis Media

Author Affiliations

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.

JAMA. 2002;288(20):2589-2598. doi:10.1001/jama.288.20.2589

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.