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A 3 year old white female presents to your office with 4 day duration of increased fussiness, low grade fever, and intermittent tugging of the ears. Exam reveals bulging erythematous tympanic membranes that lack mobility, loss of landmarks, and low grade fever. What is the most likely etiologic agent?
A. Streptococcus pneumoniae
B. Hemophilus influenzae B
C. Moraxella catarrhalis
D. Virus
E. Pseudomonas aeruginosa

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