Clinical features

In children

Irritability

Fussiness

Lethargy

Fever

Ear pulling

Eear pain.

In Adults

Severe ear pain

Fever

Headache.

Physical examination findings in all patients

Postauricular erythema

Tenderness

Warmth

Fluctuance with protrusion of the auricle

On Otoscopy, there will be bulging of posterosuperior wall of the external auditory canal.