Otitis media in scarlet fever: Symptoms and Treatment

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Otitis media in scarlet fever: Symptoms and Treatment
Scarlet fever refers to
quite severe infections caused by beta-hemolytic
Group A streptococcus, accompanied by severe intoxication, high
fever, sore throat, punctate rash on the skin and various complications
inflammatory. Inflammation of the tonsils and pharynx and nasopharynx often
It goes to the organ of hearing, where the infection enters both through the auditory tube, so
and the bloodstream.

Most often, doctors
confronted with cases of such diseases as scarlet fever in boys and girls three to five years,
and 20-25% of children scarlet fever complicated by otitis.

Otitis media in scarlet fever
may occur as early in the disease when the inflammatory changes in
nasopharynx achieve prosperity, and in the recovery period, when the symptoms
intoxication are on the decline and begins to peel off the skin.

Depending on the
time of development and the nature of the processes otitis scarlet fever are:

  • early
    Severing,
  • early
    necrotic,
  • later.


Early hyperacute scarlatinal otitis

Fortunately, this form
otitis is quite rare in this disease as scarlet fever; its symptoms and treatment extremely difficult.
Otitis media occurs in the second or third day from the beginning of scarlet fever, often with her
hypertoxic severe form. Hematogenous infection gets through the middle
ear, which causes severe inflammation.

since the symptoms
intoxication in this period of scarlet fever are expressed very sharply,
Early symptoms of otitis media for some time remain without attention of parents.
High body temperature to 39-40about C, severe general condition
Child mask symptoms of middle ear inflammation, the more he has to
Basically there are no outward signs, and the processes occurring inside the invisible
the eye of even the most careful observer.

The infection quickly
It extends to the inner ear, to the surrounding bone tissue to the brain
shell and further nerve tissue, causing the development of purulent meningoencephalitis
and purulent fusion of the brain tissue. Most often, this leads to death
child, in exceptional cases, recovery occurs, but hearing and work
the nervous system can not be restored fully, and remain deaf
loss of certain brain functions.


Early necrotizing otitis media in scarlet fever

This form of otitis
classified as a severe complication of scarlet fever. The symptoms and treatment, as well as in
case of otitis described above, can be called heavy, but the outcome
disease usually less tragic.

Home otitis less
fast, and parents have time to notice it on the background of signs of scarlet fever symptoms. Boy or girl
stop hear is said to them, complain of dizziness, nausea,
often there is vomiting. Looking closely, you can see a child or nystagmus
spontaneous twitching of the eyeballs.

Necrotizing otitis
accompanied by the destruction of the middle ear structures and quickly leads to spontaneous
total perforation of the eardrum. Because ear canal begins
stand dark yellow pus from the fetid odor. Often, through the hole in the
eardrum dropped frames destroyed ossicles.

Treatment - Antibiotics
and surgery.


Late otitis media in scarlet fever: Symptoms and Treatment

Late at otitis
scarlet fever occurs more often than other forms of the disease. It develops in the period
recovery, its symptoms and course are not different from those of the banal
acute otitis media in children.

The disease begins
with the increase in body temperature, deterioration of general condition of the child, appearance
pain in the ear - a sharp, unbearable, donating to the temple and crown. there are
congestion and noise in the ear, dulled hearing.

In a few hours
or two or three days accumulated in the ear pus breaks through the eardrum.
At the same time the child's condition improves, the temperature decreases, the pain subsides
in the ear. From the ear passage begins pus mixed with blood. suppuration
lasts five to seven days, then stops, starts scarring
eardrum. The emerging scar restricts her mobility that
involves hearing loss. Often otitis it takes a chronic course, leading
to the formation of adhesions in the middle ear, partial and even complete deafness in one ear.

Treatment of this form
otitis media is no different from that of the ordinary average otitis.

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