Scientific Online Resource System

International Bulletin of Otorhinolaryngology

Acute Otitis Media Due to Mucoid Type Streptococcus pneumoniae

D. Marev


Introduction. Mucoid otitis is known to be caused by mucoid type Streptococcus pneumoniae, and most of them arc serotype 3. As the result of the development of antibiotics,thesc bacteria have been regarded as an unimportant pathogen.

Objective: However, recently there have been severe cases in which this pathogen is responsible.We still have many problems to overcome regarding otitis media.

Methods: The study retrospectively reviewed During the period from January 2004 to July 2005, we treated 25 cases in which the mucoid type S. pneumoniae was isolated.This study was undertaken to investigate whether each episode of recurrent acute otitis media (rAOM) is caused by the same strain of bacteria or different strains at each episode. cases of25 children with evidence the Departement of Otorhnolaryngology Universiti Hospital "Sv. Marina"-Vama, between January 2004 and March 2005.

Results: 1n 22 cases in which either PISP or PRSP was the patho­gen detected in two consecutive AOM episodes, 15 cases (68%) were found in which the involved strain differed between the two episodes.

Conclusion: The antibiotic of the first choice against mucoid otitis media is penicillin. If the pathogen would acquire penicillin resis­tance, treatment of mucoid otitis med


Acute Otitis Media , Mucoid Type Streptococcus pneumoniae

Full Text


What Type of Mucosa! Defence Failure Precedes an Acute Otitis Media? L.-E. Stenfors, Acta Otolaryngol 1999; 119(6): 703-7

Changes in Immunological Factors in Patients with Chronic Otitis Media, D. Jurkiewicz and B. Zielnik-Jurkiewicz; Acta Otolaryngol Suppl 1997; 478: 73-82.

Detailed Histologie, Anatomic, and Morphometric Study of the Middle Ear in Sheep to Establish a New Experimental Model, L. Lavinsky and V. Seibel; Acta Otolaryngol Suppl 1995; 471: 67-78.

Characterization of Mucosa! Lymphocytes in Murine Eustachian Tube; S. Kodama, M. Suzuki and G. Mogi; Acta Otolaryngol Suppl 1990; 471: 73-80

Immunogenicity of a Recombinant CopB Protein Cloned from the O35E Isolate ofMoraxclla catarrhalis; D. Liu, S. Baker, K. VanDerMcid and J. McMichael; Nippon Jibiinkoka Gakkai Kaiho 1990 Sep; 93(9): 1347-53

Mucosal Immune Responses Against Intranasal Administration with Recombinant P6 of Haemophilus lnfluenzae Fused with Recombinant Mutant Cholera Toxin Al , T. Fukuiwa, S. Fukuyama, N. Tanaka, S. Udaka, C. , Hara, A. Guadiz, Y. Yuki and Y. Kurono; Nippon Jibiinkoka Gakkai Kaiho 2001 Jan; 104(1): 17-23

Intranasal Immunization with P6 Afforded Protection in the Murine Model of Otitis Media A. Sabirov, S. Kodama, T. Hirano, K. Maeda, M. Suzuki and G. Mogi, Nippon Jibiinkoka Gakkai Kaiho 2000 Jan; 103(1) : 19-23.

Димов П., Хроничен серозен отит (Монография) Ариел. Ст. Загора, 1-95, 1997г.

Милков, М., МАрев, Д., Томов, В. Аудиологични стандарти за слухопротезиране на пациенти над осемнадесет годипна възраст. Първи национален конрес по обща медицина (Сборник резюмета), 2005г., 45-46.



Font Size