What Is Bullous Myringitis?
Bullous myringitis is a type of bacterial infection caused by bacteria called Mycobacterium marinum. The disease is characterized by pain and swelling at the site of inflammation. It may cause fever, chills, fatigue, nausea, vomiting and diarrhea. The condition usually affects the extremities such as hands or feet. The disease may affect any part of the body but most commonly occurs in the fingers, toes and feet.
The disease is very contagious and it spreads through contact with infected skin. It is spread from person to person when they come into direct contact with each other’s feces or vomit after eating contaminated food. Infected individuals are not infectious until symptoms appear.
Symptoms of Bullous Myringitis:
Painful blisters (bruises) at the site of inflammation. These blisters may become ulcerated and bleed easily. They may turn black or brown in color. The skin around the blister may feel warm to touch. Some patients have no symptoms at all, while others experience severe pain and swelling for days before experiencing signs of infection.
The disease is caused by bacteria called Mycobacterium marinum. It can be spread to humans through direct contact with infected water. These bacteria are normally found in soil and water. Fish and shellfish are the main reservoirs of this bacteria. This disease is not very common and only a few cases are reported each year in the United States.
Between 1950 and 1979, there were only 31 reported cases of this disease in the United States. Since then there have been more than 50 reported cases each year.
The disease is rare in children but most commonly affects men in their forties and fifties. Most cases are reported during the summer and early fall. The disease is seen more frequently in hot weather. The disease is more common in states with warm climate such as California, Arizona and Texas. It can also be found in areas of Florida.
Other reports of this disease have been found in swimmers in Canada and Europe.
The disease can also be spread through inhaling fungal spores. This is very rare and most likely occurs in patients with severely compromised immune systems.
The disease can be treated with antibiotics such as rifampin, flucloxacillin, minocycline or trimethoprim/sulfamethoxazole.
Treatment requires the use of the proper antibiotics and supportive care for complications. The disease can be treated with the use of antibiotics as soon as it is detected. In some cases surgery may be required to drain infected material from the ear or skin.
Most people recover from this disease, but some do not respond to treatment and can suffer permanent damage to the skin or structures of the ear. These patients may require reconstructive surgery.
Bullous myringitis is a rare disease that occurs following repeated exposure to organism that causes infection in humans. The disease is not very common in the United States and only a few cases are reported each year. Most cases are seen in states with warmer climates but can be found in other parts of the country and world as well.
The disease can be spread through direct contact with the skin or by inhaling fungal spores. The disease is very contagious and can spread from one person to another person through direct contact with skin or infected material from the lungs. The disease is more common in groups that are crowded together and do not practice good hygiene such as street people or military personnel living in close confines.
Sources & references used in this article:
The etiology of bullous myringitis and the role of mycoplasmas in ear disease: a review by DB Roberts – Pediatrics, 1980 – Am Acad Pediatrics
Bullous myringitis: a case-control study by DP McCormick, KA Saeed, C Pittman, CD Baldwin… – Pediatrics, 2003 – Am Acad Pediatrics
Bullous myringitis and sensorineural hearing loss by RA Hoffman, DA Shepsman – The Laryngoscope, 1983 – Wiley Online Library