A patient with history of discharge from right ear for past 1 year presented with severe ear ache. The discharge was cultured and the organism was found to be gram positive cocci. The least likely cause is?: (A) Pseudomonas, (B) Streptococcus pneumoniae, (C) Staphylococcus, (D) Haemophilus influenza
Answer is D. Ans. (d) Hemophilus influenza Ref See below H. influenzae is a gram (-)ve coccobacilli Otitis media Etiologic bacteria Acute otitis media Pneumococci > H. influenzae > Moraxella > Streptococcus pyogenes Chronic otitis media Staph aureus > Pseudomonas