Intended for healthcare professionals

Practice 10-Minute Consultation

Otitis media with effusion (“glue ear”)

BMJ 2011; 343 doi: (Published 04 July 2011) Cite this as: BMJ 2011;343:d3770

Red flags in recurrent ear infections - another rare important cause

I note the concern of the author that we consider a cholesteatoma in
children presenting with persistent foul smelling ear discharge. I
haven't yet seen this complication in children during 30 years of practice
but I would like to draw my colleagues' attention to the possibility of
Turner's Syndrome in children of low stature who keep attending with ear
infections often with troublesome discharge. Such patients
may present well before puberty in this way (and also with characteristic
curly toes). Growth hormone is more effective when started early on.

Competing interests: No competing interests

19 July 2011
david h gaw
summerhill surgery warrenpoint co down