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A 4-year-old boy presents with daytime cough and persistent green, runny nose of two weeks duration. It seemed to start as a cold. He has previously been healthy. Full term normal delivery, no neonatal problems. Immunisations up to date. No family or social history of note.

On examination the temperature is 36.9°C. His nares are red and swollen with green nasal discharge. He is tender over the cheeks. His left eardrum looks mildly injected.

What is the most likely diagnosis?

A.Allergic rhinitis
B.Nasal foreign body
C.Sinusitis
D.Vasomotor rhinitis
E.Viral upper respiratory tract infection

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