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International Bulletin of Otorhinolaryngology

Acute Otitis Media Due to Mucoid Type Streptococcus pneumoniae

D. Marev

Abstract

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


Keywords

Acute Otitis Media , Mucoid Type Streptococcus pneumoniae

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DOI: http://dx.doi.org/10.14748/orl.v4i1.7791

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