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The Common Cold and Concurrent Otitis Media
Tasnee Chonmaitree, MD
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In a recent article titled "Rate of Concurrent Otitis Media [OM] in Upper Respiratory Tract Infections With Specific Viruses," Alper et al1 reported a new OM rate of 0.43 in children with viral upper respiratory tract infection (vURTI) with and without coldlike illness. Of 134 episodes of vURTI, OM was detected in 60 (45%); of these, coldlike illness was present in 42 (70%) and absent in 18 (30%). Eighty-two percent of OM episodes were OM with effusion (OME) without acute symptoms; there were only 19 episodes of acute OM (AOM) reported.
The interesting new information from Alper and colleagues' study is that vURTI, even when it is asymptomatic, contributes to the development of OM. The article did not clearly separate OM after vURTI into AOM or OME. For unclear reasons, the investigators chose to study children ranging in age from 1.0 to 8.6 years (mean age, 3.7 . . . [Full Text of this Article] AUTHOR INFORMATION
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