2 Days Of Yellow in Surgery — 5yo Child | ENT | SMLE Q#4881

SMLE Question #4881

Surgery ENT
Last updated: February 2026
A 5-year-old boy presents with 2 days of yellow, nonbloody drainage from the right ear. Tympanostomy tubes were inserted 4 months ago for recurrent otitis media. Over the past week, he has been swimming frequently in a public pool. He is afebrile, appears well, and has mild ear discomfort. Otoscopy shows a patent tympanostomy tube with purulent otorrhea; the external auditory canal has no marked edema or erythema. Which organism is the most likely cause?

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