Which Patient May Be Given Symptomatic Treatment with 24 Hours

Which patient may be given symptomatic treatment with 24 hours follow-up assessment without initial antibiotic therapy?

A) A 36-month-old with fever of 38.5°C, mild otalgia, and red, non-bulging TM
B) A 4-year-old, afebrile child with bilateral otorrhea
C) A 5-year-old with fever of 38.0°C, severe otalgia, and red, bulging TM
D) A 6-month-old with fever of 39.2°C, poor sleep and appetite and bulging TM