Abstract
Acute otitis media due to mucoid type Streptococcus pneumoniae (mucoid otitis media) in 9 adults was treated (10 ears) during the period from June 2000 to August 2002.
They complained of severe otalgia, otorrhea, high fever and ear fullness. All the tympanic membrane showed hyperemia, bulging or blister with masked mastoiditis. Six cases showed bone conduction hearing loss.
Recovery of the hearing loss delayed about 1.5 months. Tympanotomy was performed in all cases and a ventilation tube was inserted in 4 ears. All cases were treated by antibiotics. In 6 cases with bone conduction hearing loss, steroids and vitamins were administered.
In all cases mucoid type Streptococcus pneumoniae was isolated. This pathogen was found to have pbp2x gene in this country, and to resist against cephem antibiotics. The antibiotics of the first choice against mucoid otitis media is penicillin.
