This four year old boy was bought to me in OP yesterday with bloody discharge and pain ear last two days. Pain was severe enough to disturb sleep. He is better today (after drugs ) Past history  He was shown to an ENT doctor for wax ear 10 days back for wax ear and was treated with ear drops and ear wash ( patients own words.) No similar illness in the past . No other significant illness. Immunised update  Now See the photos ( below ) Both sides bloody discharge crusted .

Small pustular lesions around the external orifice and lobules . He was already on Amoxycillin +Clavunanic acid combination twice daily since yesterday (Dose inadequate . He was not sick ,not febrile  examination of systems within normal limits  Our diagnosis was External otitis , most probably introduced during procedures and organism staphylococci . So far i think i was  in the right track  But  The  decision was to…