Question:medium

Bullous myringitis is most commonly caused by which of the following organisms?

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An atypical bacterium that also causes walking pneumonia is the culprit.
Updated On: Jun 24, 2026
  • Pseudomonas
  • Mycoplasma
  • Pneumococcus
  • Candida
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The Correct Option is B

Solution and Explanation

Step 1: The clinical picture of severe ear pain of sudden onset with blood-filled blisters on the drum identifies bullous myringitis.

Step 2: The organism classically linked with this condition is Mycoplasma pneumoniae, with viral agents like influenza as another association.

Step 3: Examination shows serosanguinous haemorrhagic bullae over the tympanic membrane and deep external canal, often with mild conductive hearing loss.

Step 4: After resolution the healed drum shows the typical Sago-grain look. Bacteria such as Pseudomonas or Pneumococcus and the fungus Candida do not cause this entity.

\[\boxed{\text{Mycoplasma}}\]
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