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May 22, 1981

The Febrile Response in Acute Otitis Media

Author Affiliations

From the Research Foundation, Microbiology Research, Department of Infectious Diseases (Drs Schwartz and Rodriguez), and the Department of Otolaryngology (Dr Grundfast), Children's Hospital National Medical Center, George Washington University School of Medicine and the Health Sciences (Drs Schwartz, Rodriguez, and Grundfast), Washington, DC; and the Naval Medical Research Institute, US Navy, Bethesda, Md (Dr Brook).

JAMA. 1981;245(20):2057-2058. doi:10.1001/jama.1981.03310450049023

Of 671 children with acute otitis media seen in our private practice, only 23% had fever. Very high fever (≥40.5 °C) was noted in only two children. In only 4% of the 671 children did the fever last more than 48 hours after antibiotic treatment had been started. We found that the organism causing the acute otitis media was unrelated to the presence of fever associated with this illness.

(JAMA 1981;245:2057-2058)