What two signs or symptoms in a child are most likely caused by otitis media?

Otitis media, commonly known as an ear infection, frequently presents with specific signs and symptoms that are directly related to inflammation and infection in the middle ear. Fever and earache are two hallmark indicators of this condition.

A fever may occur as the body's immune system responds to the infection, indicating that the body is fighting off microorganisms that are causing the illness. Along with this, an earache, or pain in the ear, is a direct result of pressure buildup in the middle ear due to the accumulation of fluid and inflammation. These sensations are prominent in children with otitis media, as they can express discomfort or pain in their ears while also potentially showing signs of fever.

Other options present signs and symptoms that are not typically associated with otitis media. Coughing and sneezing are more commonly associated with upper respiratory infections or allergies, while rash and vomiting are not classic symptoms of ear infections. Fatigue and headache could indicate a range of other illnesses but are less specific compared to the combination of fever and earache that closely align with otitis media. Thus, fever and earache are the most likely signs indicative of this condition in a child.