Myringitis
| Classification according to ICD-10 | |
|---|---|
| H65 | Non-purulent otitis media - with myringitis |
| H66 | Purulent and unspecified otitis media - with myringitis |
| H73 | Other diseases of the eardrum |
| ICD-10 online (WHO version 2019) | |
Infectious myringitis is a painful inflammation of the eardrum ( Myrinx ) with a great spontaneous healing tendency. The infection leads to the formation of very painful blisters on the eardrum membrane, which is why the disease is also known as bullous myringitis .
causes
The cause is viral or bacterial pathogens. The typical pathogens of otitis media such as Streptococcus pneumoniae , Haemophilus influenzae , Moraxella catarrhalis or mycoplasma are the most common germs. The myringitis is almost always with a middle ear infection ( otitis media associated). Direct external influences rarely lead to an eardrum inflammation.
complaints
The earache begins suddenly, rarely with a throbbing pain in the first 1–2 days, and lasts for a period of one to two days, very rarely even for 2 days. It is usually compared to an otitis media. Myringitis rarely causes fever, but severe pain is to be expected spontaneously. Difficulty concentrating and other known consequences are symptomatic.
Hearing disorders and fever, such as in otitis media, complete the symptoms.
treatment
The therapy is antibiotic as in otitis media. If the pain is severe, the vesicles can be punctured manually, and therapy with suitable painkillers is also appropriate.
literature
- Jürgen Strutz, Wolf Mann: Practice of ENT medicine, head and neck surgery . Thieme, Stuttgart / New York 2001, ISBN 3-13-116971-0 , p. 280 ( limited preview in Google Book search).
