Question

A 2-year-old presents with unilateral acute otitis media, fever 100.6°F, mild otalgia, and reliable follow-up. No severe symptoms or otorrhea. Best management?

Accepted Answer

Observation with close follow-up (defer antibiotics)

Answer

Immediate high-dose amoxicillin for 10 days

Answer

Azithromycin 5 days

Answer

Ceftriaxone IM x1

Answer

Amoxicillin-clavulanate for 14 days

Practice question

A 2-year-old presents with unilateral acute otitis media, fever 100.6°F, mild otalgia, and reliable follow-up. No severe symptoms or otorrhea. Best management?