How often does otitis media cause fever?
I read with interest "Otitis media? Not likely" in your "What's the Verdict" column (J Fam Pract. 2014;63:47). I agree with Dr. Hickner's assessment that a 3-month-old child who has a fever of 103[degrees]F should raise concern for other serious illnesses, yet I disagree that otitis media rarely causes fever.
Fever is relatively common in children with acute otitis media. Schwartz et al, (1) presented a case series of 671 children with otitis media. They could identify no cause of fever other than the ear infection in 23% of patients.
Thomas Bielanski, MD, FAAFP
Oak Park, Ill
(1.) Schwartz RH, Rodriguez WJ, Brook I, et al. The febrile response in acute otitis media. JAMA. 1981;245:2057-2058.
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|Publication:||Journal of Family Practice|
|Article Type:||Letter to the editor|
|Date:||May 1, 2014|
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