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Purulent otitis media in adults.

L E Schwartz¹, R B Brown

¹Department of Medicine, Baystate Medical Center, Springfield, MA 01199.

Archives of Internal Medicine

|November 1, 1992

Summary

Adult otitis media is uncommon, affecting 0.25% of the population, often caused by Streptococcus pneumoniae and Haemophilus influenzae. Hospitalized adults face serious complications, necessitating further research into high-risk groups.

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Area of Science:

Otolaryngology
Infectious Diseases
Epidemiology

Background:

Otitis media is well-studied in children, but data on adult cases are limited.
Understanding adult otitis media is crucial due to potential severe complications.

Purpose of the Study:

To determine the incidence, prevalence, and common bacterial causes of purulent otitis media in adults.
To identify symptoms and complications associated with adult otitis media.

Main Methods:

A comprehensive review of English-language literature on adult otitis media.
A retrospective analysis of hospitalized adult patients diagnosed with otitis media.

Main Results:

The incidence of adult otitis media is low, estimated at 0.25%.
Streptococcus pneumoniae and Haemophilus influenzae are the primary pathogens in ambulatory adults.
Hospitalized patients experienced severe suppurative complications, including mastoiditis, meningitis, and brain abscess.
Otalgia and fever were the most frequent symptoms.

Conclusions:

Adult otitis media is an uncommon but potentially serious condition.
Further research is needed to define specific bacterial etiologies, symptomatic presentations, and identify high-risk adult populations.

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