2) Fever

is a marked sign associated with a bacterial middle ear infection. Otitis media caused by viral infection is usually accompanied by low-grade fever (less than 38.3 Celsius). High-grade fever may be an alarming sign of severe inflammation or the spreading of bacterial infection through the bloodstream. Otolaryngologists (ENT doctors) believe that 2 out of every 3 children having acute otitis media, get feverish.