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Bullous Myringitis Most commonly caused by Strep pneumoniae Bullae filled with blood form on the surface of the TM and burst with effusing blood Concurrent bullous myringitis and pneumonia is associated with Streptococcus Pneumoniae. Treating the pneumonia will also treat the otalgia. #Bullous #Myringitis #Diagnosis #Clinical #TympanicMembrane #TM #Otalgia