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How does otitis media in neonates or young children differ from that in older children or adults?

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How does otitis media in neonates or young children differ from that in older children or adults?

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In neonates and young infants, the incidence of unusual organisms, particularly gram negative bacilli and staphylococcus aureus is higher. Ear related presentations are generalised in the neonate and young infant while the older child or adult can generally describe their symptoms.

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