An 18 month old has returned to the clinic for a follow up a…

An 18 month old has returned to the clinic for a follow up after being treated for 3 days with antibiotics for acute otitis media.  The parent denies the child has been exhibiting ear pain, but states the child did cry very loudly at one point, pulled on their ear lobe and now has thick yellow discharge oozing from the ear canal. The drainage is indicative of: