Question:easy

Acute suppurative otitis media in children is most commonly caused by?

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The leading middle-ear pathogen in children, ahead of H. influenzae and M. catarrhalis.
Updated On: Jun 24, 2026
  • Streptococcus pneumoniae
  • Staphylococcus epidermidis
  • Staphylococcus aureus
  • Pseudomonas
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The Correct Option is A

Solution and Explanation

Step 1: ASOM is a pus-forming middle-ear infection that peaks in early childhood because of the short, horizontal eustachian tube.

Step 2: Infection typically begins as a viral cold or throat infection and spreads up the eustachian tube to the middle ear, where bacteria take over.

Step 3: Streptococcus pneumoniae is the leading bacterial pathogen, with Haemophilus influenzae and Moraxella catarrhalis next in line.

Step 4: The staphylococci and Pseudomonas listed are more typical of external ear or chronic ear disease, not the usual ASOM cause in children.

\[\boxed{\text{Streptococcus pneumoniae}}\]
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