A 6-year-old child presents with complaints of unilateral ear pain, fever, and sore throat. The clinician should recognize that this is most commonly due to:
A. Otitis externa
B. Inner ear infection
C. Sinusitis
D. Otitis media
ANS: D
Acute otitis media (AOM) involves infection of the fluid in the middle ear space. The three bacterial organisms most often associated with AOM include streptococcal pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. The patient often complains of unilateral ear pain, which may radiate to the neck or jaw. There is commonly a current or recent history of symptoms consistent with an upper respiratory infection.
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