A 2007 clinical evidence review of adults with chronic suppurative otitis media concluded that topical antibiotics with or without topical corticosteroids are likely to reduce persistent. Acute otitis media is the second most common pediatric diagnosis in the emergency department following upper respiratory infections.
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For more information see the CKS topic on Otitis media - chronic suppurative.

. Acute otitis media is defined as an infection of the middle ear space. Myringitis erythema and injection of the tympanic membrane are visible on otoscopy but there are no other features of otitis media. It is a spectrum of diseases that include acute otitis media AOM chronic suppurative otitis media CSOM and otitis media with effusion OME.
Earache is a common problem and can also be caused by otitis externa for more information see the CKS topic on Otitis externa.
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