A 6-year- old child developed severe pain in both ears together with a rise of temperature  (39 C) following an attack of common cold. The child received medical treatment that lead  to drop of his temperature and subsidence of pain; so the physician stopped the treatment. However, the mother noticed that her child did not respond to her except when she raised  her voice. This decreased response remained as such for the last 2 weeks after the  occurrence of the primary condition.

What would the possible diagnosis and reason behind the diagnosis? What further  examinations and treatment would be suggested? *This case is from the Docplexus Editorial Team and is for educative purpose only.