Plate 7: Acute Catarrhal Otitis Media, Infant (otitis media catarrhalis acuta neonatorum) May follow any respiratory infection. The redness along the malleus handle, bluish discoloration of Shrapnell's membrane, and engorgement of the vessels in these areas are noted. Redness is frequently present near the annulus tympanicus. The long and short processes are accentuated. The membrana tensa is retracted. The cone of light is foreshortened.