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57. Un preescolar de 3 años presenta rinorra hialina desde hace 72 horas y desde gace 24 horas irritabilidad y fiebre hasta 39 oc. En la exploración física ambos oídos muestran eritema del conducto, dolor a la movilización del trago, abombamiento y disminución de la movilidad a la neumatoscopia del timpano derecho. El diagnóstico clínico más probable es:
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