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Clinical Crossroads | Clinician's Corner

A 15-Month-Old Child With Recurrent Otitis Media

Jack L. Paradise, MD, Discussant
JAMA. 2002;288(20):2589-2598. doi:10.1001/jama.288.20.2589.
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DR REYNOLDS: Sam is a 15-month-old child who has recurrent otitis media. He lives near Boston with his mother, father, and a healthy older brother, aged 2 years 9 months. Sam is cared for at home while his parents are at work.

Born at term in October 2000 by elective repeat cesarean delivery to a healthy 37-year-old gravida 2, para 2 mother after an uncomplicated pregnancy, Sam had a normal hearing screen at birth. At the age of 5 months he had his first episode of acute otitis media, manifested by spontaneous perforation and draining of pus from the left ear. He was treated with amoxicillin, 80 mg/kg per day, and his eardrum was found intact at a subsequent visit.

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