The first thing to consider is whether you have mumps. Mumps is an acute respiratory infection caused by the parotid gland invaded by the mumps virus, which can cause fever if there is a co-infection. It is important to consider whether there is inflammation of the ear canal or pharyngeal infection that causes local lymph node inflammation around the ear, resulting in swollen lymph nodes and painful symptoms. It is possible that the pain in the pharynx radiates to the area around the ear or even involves the trigeminal nerve, thus manifesting as pain around the ear, like acute purulent tonsillitis, which is common in the pharynx and can easily lead to this condition. Therefore, it is advisable to seek medical attention for this clinical symptom in order to clarify the diagnosis and then treat it promptly.