”Question
A 5-year-old girl developed high fever, ear pain, and vomiting 1 week ago. She was seen in the emergency center, diagnosed with otitis media, and started on amoxicillin-c1avulanate. Her symp¬toms continued, and on the third day of this medication she was seen with persistent findings of otitis media, fever, ...
A. Tympanocentesis and culture of middle ear fluid
B. High-dose oral amoxicillin
C. Oral trimethoprim-sulfamethoxazole
D. Addition of intranasal topical steroids to the oral cefuroxime
E. Adenoidectomy