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150750 Pediatrics

A 10-year-old girl has had a “cold” for 14 days. In the 2 days prior to the visit to your office, she has developed a fever of 39degC (102.2degF), purulent nasal discharge, facial pain, and a daytime cough. Examination of the nose after topical decongestants shows pus in the middle meatus. Which of the following is the most likely diagnosis?

ABrain abscess
BMaxillary sinusitis
CStreptococcal throat infection
DSphenoid sinusitis
Pediatrics
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