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A 6-Year-Old Girl Is Brough to the Office Due to Fever

Question 201

Multiple Choice

A 6-year-old girl is brough to the office due to fever and lethargy for the last 5 days. The patient has a recurrent history of upper respiratory infections. One week ago, she was diagnosed with otitis media, where she did not receive medications. During the last week, she became more lethargic. She has been vomiting for the last two days. During examination, the patient had generalized tonic-clonic seizure. Radiological imaging has showed a 3-cm, ring enhancing lesion in the right temporal lobe. This patient's presentation is most likely due to infection spread from which of the following structures ?


A) Ethmoid air cells
B) Frontal sinus
C) Mastoid air cells
D) Maxillary sinus
E) Nose and upper lips
F) Peritonsillar space

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