A 6-year-old girl from Delhi presents with a 5-day history of left ear pain, fever (39°C), and bilateral purulent nasal discharge. On otoscopy, the left tympanic membrane is dull, retracted, and shows a fluid level behind it. Audiometry reveals conductive hearing loss (30 dB). She has no perforation or drainage. What is the current stage of acute suppurative otitis media?

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