Which of the following is NOT a sign of otitis?

In the context of otitis, which refers to inflammation or infection of the ear, several symptoms are commonly associated with the condition. Fever can occur as the body responds to infection, ear pain is a classic indication of otitis due to inflammation in the ear, and difficulty hearing often arises from fluid buildup or blockage in the ear canal.

Difficulty breathing, while it can occur in other medical conditions or severe cases, is not typically a direct sign of otitis. Otitis primarily affects the ear and does not inherently cause respiratory symptoms. In this case, recognizing that difficulty breathing is not associated with an ear condition helps distinguish it from the other signs that clearly relate to otitis.