2 Days Of Fever in Pediatrics — Case | Pediatric Infectious | SMLE Q#11376

SMLE Question #11376

Pediatrics Pediatric Infectious

Objective: OBJ-113

Last updated: February 2026
A previously healthy 4-year-old boy is brought with 2 days of fever and right ear pain. The pain was severe yesterday but improved suddenly this morning. His parents then noticed purulent discharge from the right ear. He has no prior recurrent ear infections or known hearing loss. Otoscopy shows purulent otorrhea and a small central tympanic membrane perforation; the external auditory canal skin is normal without swelling or tenderness. What is the most likely diagnosis?

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