The usual acute otitis media in a child progresses by distinct and reversible stages. Cultures are practical only after rupture or surgical incision of the tympanic membrane. Myringotomy is almost never necessary. One injection of a mixture of potassium penicillin G, procaine penicillin G, and benzathine penicillin G is effective treatment.
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DeSanto et al. (1969) studied this question.
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