Which of the following symptoms is most strongly associated with acute otitis media?

Fever is a key symptom of acute otitis media, a common ear infection primarily affecting children. This condition arises when the middle ear becomes inflamed due to infection, often resulting from bacteria or viruses, frequently following a respiratory infection like a cold. The body's immune response to this infection typically causes an increase in body temperature, leading to fever.

In the context of acute otitis media, while other symptoms can be present, such as irritability in children, ear pain, reduced hearing, and sometimes drainage from the ear, fever is particularly significant. It serves as an indicator of infection and inflammation in the body. By understanding this association, healthcare providers can make informed decisions regarding diagnosis and treatment options, emphasizing the importance of recognizing fever as a critical symptom in evaluating a patient suspected of having acute otitis media.