J11 Mi 78. Otitis media

Q: An eight year old child with history of pain and discharge from right ear presents with fever, neck rigidity and positive Kernig's sign. Discharge was stained with gram stain, which revealed gram positive cocci. Which of the following is the most likely organism:

(a) H. influenzae
(b) Staphylococcus
(c) Pneumococcus
(d) Pseudomonas.


                                                                                                   A: c. Pneumococcus