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A 10 month old child arrives at the clinic with a 54 hour history of a somewhat of a sore ear. The father reports no fever. The child attends swimming lessons and has an older brother with a cold. The child is immunized.

Physical Exam: Child is alert. Ear: See picture. Remainder of physical exam is unremarkable.

What is the most likely diagnosis?

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Author

Dr. Hosanna Au

Reviewers

Dr. Susan Bannister

Susan.Bannister@ahs.ca

Dr. Marc Zucker

Zucker@cheo.on.ca