Acute otitis media

A 6 yr old previously healthy male is brought to your office for right ear pain. His mother states he has been pulling at his ear for the past 2 days and has complained of discomfort. She states he felt warm but has not taken his temperature. His birth history is unremarkable and has no significant medical history. Vital signs are T 38°C , HR 100, BP 100/60, RR 18. Right otologic exam is seen in given figure. Of the following organisms, which is the most likely responsible for the patient's condition? 1) S. aureus 2) p. aeruginosa 3) N. meningitidis 4) M. catarrhalis

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This is a case of acute otitis media The most common organisms are strep. pneumoniae, H. influenzae, and moraxella catarrhalis

Answer is 4: M. Catarrhalis

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