Loss Of Light Reflex in Pediatrics — Case | Pediatric Infectious | SMLE Q#17297
SMLE Question #17297
Pediatrics
Pediatric Infectious
Objective: OBJ-113
Last updated: February 2026
A 4-month-old boy returns for follow-up after acute right otitis media treated in the emergency department. Otoscopy shows a bulging, erythematous tympanic membrane with loss of the light reflex. He has had 2 similar episodes in the past 3 months. He attends a crowded day-care, and both parents smoke inside the home. His mother asks how to best prevent future ear infections and whether he needs daily antibiotics or changes to his routine immunisations. What is the most appropriate advice?
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