A mother came to me with her 11 month old daughter with a history of ear infections. Her first one was at age 4 months, several days after her 3rd round of immunizations. Since then she has had at least 5 more with antibiotics "helping" temporarily. In late January her mom noticed swelling of the left foot which turned out to be a bone infection. She was in the hospital 5 days with IV antibiotics. Since then she has had 2 ear infectrions. Her foot is now fine and the most recent sed. rate was normal.

Currently, she appears sick. Glassy, large eyes. Hispanic descent. She is fairly calm but demands to be held and comforted by mom. Mom states that it has been this way for months. She doesn't sleep at night except with mom and dad. She will wake at night, cry, then crawl towards mom and lay on her and go back to sleep.
She is warm to touch,and always takes her socks off!!!!!!!
Mom states that when ill she is cranky (except when consoled by mom), grabs and picks ears and face, shakes her head back and forth.

She likes almost all food, esp. bananas. Dairy upsets. She has had a constant clear runny nose since birth. She eats more than she drinks. Prefers warm drink.
Mom has noticed a black tarry substance almost like toothpaste come out of her ears.
stool is runny and red when on penicillin. Her ear is full of wax, eardrums are red. Infection has been in both ears.

Most notably is DEMANDS COMFORT FROM MOM, PULLS SOCKS OFF FEET.