student cases for discussion with faculty
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Student Case 6:
Child aged 15 months

Seen for AOM 2 days ago
right ear draining pus,
 left ear intact, bulla noted
Started on amoxicillin 40 mg/kg/kg

Right ear culture from 2 days ago growing a multi-drug-resistant
S. pneumoniae

Nasopharyngeal culture from 2 days ago shows same S. pneumoniae
plus ß-lactamase (+) and M. catarrhalis

 tympanic membrane
  
Questions for discussion with faculty:
   1.  Name an appropriate treatment for the ear that is draining.
  2.  How would you approach the treatment of this child now that you have identified the organisms?