<prompt> A patient with history of discharge from right ear for past 1 year presented with severe ear ache. The discharge was cultured and the organism was found to be gram positive cocci. The least likely cause is?PseudomonasStreptococcus pneumoniaeStaphylococcusHaemophilus influenza  <response>: Ans. d Hemophilus influenza Ref See below H. influenzae is a gram -ve coccobacilli Otitis media Etiologic bacteria Acute otitis media Pneumococci H. influenzae Moraxella Streptococcus pyogenes Chronic otitis media Staph aureus Pseudomonas 