In children with hemorrhagic myringitis
, 57% of the nasopharyngeal samples and 38% of the middle-ear samples were virus positive.
"In all of these instances, except for bullous myringitis, it is important to strongly consider referring to a specialist for care, Dr.
In cases of bullous myringitis, there generally is an obvious bulla or blister on the tympanic membrane.
Antimicrobials (topically or systemically) recommended for otorrhoea in the DoH guideline need to cover the majority of organisms encountered; be it due to otitis media, granular myringitis
or otitis externa, as the primary healthcare worker is unlikely to distinguish between these causes of otorrhoea.
Hawke: How should we treat chronic granular myringitis that has completely covered the surface of the tympanic membrane?
For example, granular myringitis can progress to medial meatal fibrosis or what is often called a "false fondus." Is there a good treatment for this condition?
Among the latter are bacterial and viral diffuse otitis externa, furunculosis, herpes zoster oticus, bullous myringitis, fungal and yeast infections, and even malignant otitis externa.
Myringitis is not common, and the middle ear and mastoid are not affected.