Can High Fever Indicate Ear Infections? ENT Concerns - Otolaryngology

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Hello Dr.
Chen: May I ask if a sudden high fever (40 degrees Celsius) without any other symptoms could indicate otitis media? Can washing hair or swimming lead to otitis media?

Ru, 30~39 year old female. Ask Date: 2001/04/30

Dr. Chen Junliang reply Otolaryngology


Hello, Miss: Acute otitis media can indeed cause fever, but it is often accompanied by symptoms such as ear pain, discharge, tinnitus, and hearing loss, and it mostly occurs in children.
When water enters the ear while washing hair or swimming, it usually leads to external otitis, with only a small percentage resulting in otitis media.

Reply Date: 2001/04/30

More Info


High fever can indeed be a concerning symptom, and it may indicate various underlying conditions, including ear infections. In the context of ear, nose, and throat (ENT) health, a sudden high fever, especially in the absence of other symptoms, can be indicative of an acute infection, such as otitis media (middle ear infection).
Otitis media is a common condition, particularly in children, and it can occur when bacteria or viruses infect the middle ear, often following a respiratory infection. Symptoms typically include ear pain, irritability, and sometimes fever. However, in some cases, especially in younger children, fever may be the only noticeable symptom.
Regarding your question about whether activities like washing hair or swimming can lead to ear infections, the answer is nuanced. While these activities themselves do not directly cause middle ear infections, they can contribute to conditions that may lead to an infection. For instance, swimming can introduce water into the ear canal, which may lead to swimmer's ear (otitis externa), an infection of the outer ear canal. This is different from middle ear infections but can still cause discomfort and fever.
When water gets trapped in the ear, it creates a moist environment that can promote bacterial growth. Additionally, if a person has a cold or allergies, the Eustachian tubes (which connect the middle ear to the back of the throat) can become swollen and blocked, leading to fluid buildup in the middle ear and increasing the risk of infection.
If you experience a sudden high fever of 40 degrees Celsius without other symptoms, it is essential to seek medical attention. While it could be a sign of an ear infection, it could also indicate other serious conditions, such as viral infections, bacterial infections, or even systemic issues that require prompt evaluation.
In summary, while high fever can indicate an ear infection, it is crucial to consider the overall clinical picture. If you have concerns about your symptoms or the possibility of an ear infection, consulting with an ENT specialist or your primary care physician is advisable. They can perform a thorough examination, possibly including an otoscopic examination of the ears, to determine the cause of the fever and recommend appropriate treatment.
In conclusion, while activities like swimming and washing hair do not directly cause middle ear infections, they can contribute to conditions that may lead to ear infections. If you experience a high fever, especially if it persists or is accompanied by other symptoms, it is essential to seek medical advice to rule out any serious conditions and receive appropriate care.

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