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A 7-year-old child is brought to the clinic with a 5-day history of fever, ear pain, and purulent discharge from the right ear. The child was treated at home with analgesics only. Over the last 24 hours, the child developed headache, vomiting, and post-auricular swelling. On examination, the child is febrile, irritable, with tender swelling behind the ear, ear protrusion, and conductive hearing loss on the right side.