AI Article Synopsis
- There is limited documentation of acute otitis media (AOM) cases in preterm infants in the NICU, highlighting its rarity.
- A case study involves a 26-week-old infant who, at nearly 30 weeks postmenstrual age, showed signs of systemic sepsis that was found to be caused by AOM with pus in the ear.
- Factors contributing to AOM in extremely preterm infants include prematurity itself, use of various tubes for feeding or ventilation, eustachian tube issues, and their unique immune response.
Article Abstract
There are a limited number of documented cases of acute otitis media (AOM) in preterm infants while hospitalized in the neonatal intensive care unit (NICU). We present a case of a former 26 weeks old infant who at 29 weeks, 6 days postmenstrual age presented with acute signs and symptoms of systemic sepsis subsequently found to be secondary to AOM with purulent ear drainage. The patient received a septic evaluation, including urine, blood, and cerebrospinal fluid studies. Treatment included intravenous antibiotics with full resolution of symptoms. AOM in extreme preterm infants is multifactorial, with leading causes that include prematurity, the use of oropharyngeal and nasogastric tube placement and endotracheal intubation, eustachian tube dysfunction, and a distinct immune response. To our knowledge, there is not another published case of AOM of a preterm baby while in the NICU.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8221837 | PMC |
| http://dx.doi.org/10.1055/s-0041-1731315 | DOI Listing |
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