[44F] Experiencing severe ear infection and associated symptoms

Patient Description

A 44-year-old female presents with a severe ear infection that she describes as 'angry,' with pain spreading to or from the brainstem. She has been experiencing this for 2 to 3 days, and symptoms are exacerbated by moving her head. She rates her headache, which is congested in nature and located at the base of her head to her neck on the right side, as an 8 out of 10 in severity. The patient also reports a stiff neck with sharp pain on the right side, especially when moving her head, which she also rates as an 8 out of 10 in severity. Additionally, she has noticed swelling at the base of her neck behind the ear and a sore throat that resembled tonsillitis on the left side, which has since resolved. She reports a recent change in taste perception, with food and beverages tasting 'really funny.' Her medical history includes Crohn's disease, a hiatal hernia, and endometriosis, diagnosed around 2010. The patient has multiple medication allergies, including NSAIDs, Zofran, Haldol, Toradol, Pepcid, Fentanyl, Reglan, Anapselin, and ibuprofen. She is currently taking amoxicillin and oxycodone for her symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, the following conditions could be possible:

  • Mastoiditis: This is an infection of the mastoid bone, located behind the ear. It often occurs as a complication of a middle ear infection. Symptoms can include pain, swelling, and redness behind the ear, headache, sore throat, and changes in hearing or taste.

    • Treatment typically involves antibiotics and sometimes surgery to drain the infected area.
  • Pharyngitis: This is inflammation of the back of the throat, often causing a sore throat and difficulty swallowing. It can also cause a headache and changes in taste.

    • Treatment usually involves rest, hydration, and over-the-counter pain relievers. Antibiotics may be used if a bacterial infection is suspected.
  • Meningitis: This is an infection of the membranes covering the brain and spinal cord. Symptoms can include a severe headache, neck stiffness, and fever. However, you have not reported a fever, which is a common symptom of meningitis.

    • Treatment involves urgent medical attention and antibiotics.

Please note that these are possibilities based on the symptoms you've reported, and not a definitive diagnosis. It's important to seek medical attention for a proper diagnosis and treatment.

What you can do

  1. Continue taking your prescribed medication: You mentioned you're currently taking amoxicillin, which is an antibiotic. It's important to finish the entire course of antibiotics, even if you start to feel better.

  2. Rest and hydration: Make sure you're getting plenty of rest and staying hydrated. This can help your body fight off an infection.

  3. Pain management: Continue taking your prescribed pain medication as directed by your healthcare provider.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or do not improve after a few days
  • You develop a high fever
  • You experience changes in your vision or hearing
  • You have difficulty moving your neck or have severe neck pain
  • You experience confusion or difficulty staying awake

Remember, I'm an AI and this advice is based on the symptoms you've reported. It's important to consult with a healthcare provider for a definitive diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of mastoiditis?

Common symptoms of mastoiditis include pain, swelling, and redness behind the ear, headache, fever, drainage from the ear, and changes in hearing or taste. It often occurs as a complication of a middle ear infection.


How can a severe ear infection lead to changes in taste perception?

A severe ear infection can affect the nerves responsible for taste, particularly if the infection spreads to areas near the taste pathways, such as the facial nerve. This can result in altered taste perception.


What are the warning signs that an ear infection might be developing into something more serious like meningitis?

Warning signs that an ear infection might be developing into meningitis include severe headache, neck stiffness, high fever, sensitivity to light, confusion, and difficulty staying awake. Immediate medical attention is necessary if these symptoms occur.


What precautions should be taken if someone has multiple medication allergies?

If someone has multiple medication allergies, it is crucial to inform healthcare providers about all known allergies to avoid prescribing medications that could cause adverse reactions. Alternative medications should be considered, and close monitoring is necessary when starting any new treatment.


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