OME (otitis media with effusion)
the exudate indicates bacterial origin and so does intense pharyngeal erythema (cause of most URTI) = viruses-viral pharyngitis / tonsillitis tend to be accompanied by additional symptoms, such as cough, coryza, conjunctivitis (same virus, usually adenovirus), and general myalgia-bacterial pharyngitis / tonsillitis = likely caused by GABHS ................
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