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During the course of lobar pneumonia in children, it is not uncommon to encounter a form of otitis media which is decidedly characteristic. The onset of the symptoms is gradual and only in rare instances does the child complain of earache, the otitis being most frequently discovered by the pediatrician in his routine examination of the ears of a patient with pneumonia. The tympanic membrane, if seen early in the course of the otitis, is thickened and slightly pink, but rarely bulging. Later the pinkness fades and the membrane becomes white or pale yellow. The drum is still more thickened and appears to be bulging, but the landmarks in the region of Shrapnell's membrane are not always entirely obliterated.
The outstanding characteristics of the otitis media are the evident fulness of the tympanum, the paleness and thickening of the tympanic membrane and the absence of pain and inflammation. The condition
BAUM HL. PNEUMONIC OTITIS MEDIA. Arch Otolaryngol. 1935;21(1):96–97. doi:10.1001/archotol.1935.00640020103013
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