This protocol addresses tympanic membrane perforation presenting with ear discharge suspicious of middle ear infection in patients with a documented delayed non-severe penicillin allergy — a combination that requires a modified antibiotic approach.
Ear discharge raising suspicion of concurrent middle ear infection is the key presenting finding. The patient's delayed non-severe penicillin allergy precludes standard first-line oral penicillin-based therapy, requiring an alternative oral antibiotic to be chosen alongside topical treatment.
Management involves topical ciprofloxacin ear drops combined with an oral antibiotic chosen specifically as a penicillin-safe alternative for the allergic patient.
Full regimen details — including dosing, frequency, duration, and clinical sequencing — are available in the complete structured protocol.