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CSOM – Aboriginal child — RACP Paediatrics MCQ

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ModerateIDCSOM – Aboriginal childRACP Paediatrics

A 4-year-old Aboriginal child in remote NT has bilateral painless ear discharge for >6 weeks. Bilateral TM perforations with mucopurulent discharge. Conductive hearing loss 30 dB. What is the diagnosis?

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Correct answer: B — CSOM

CSOM: persistent discharge through perforated TM for >6 weeks. Prevalence up to 15-30% in remote Aboriginal communities. Treatment: ear toilet, topical ciprofloxacin, hearing rehab.

Reference: RCH Melbourne – 2023; Australian Therapeutic Guidelines – 2024