A 5-year-old boy presents to the GP with intense left otalgia which started 48 hours ago. On examination, the left ear is found to be protruding forward. There is a mass behind the ear that is tender to touch. On otoscopy, the tympanic membrane is bulging and erythematous. He is tachycardic and his temperature is 38.5 ºC.
What is the most likely diagnosis?
- A) Temporal bone fracture
- B) Uncomplicated acute otitis media
- C) Meningitis
- D) Acute mastoiditis
- E) Intracerebral abscess
ASCENT 