A 5-year-old boy presents with ear pain and fever. The left eardrum is inflamed with a small perforation in it and pus is seen in the external canal. A swab of the area grows S. pneumoniae. Which of the following is the most likely mechanism for S. pneumoniae to cause otitis media?

📤 Share this MCQ

VB
Vikas Bhardwaj
Medical Technologist, AIIMS New Delhi
Updated: Apr 17, 2026