Medical history An 8 year-old female patient attends to the emergency department due to fever, coughing and dyspnea for the past 7 days. The physical examination showed nail clubbing ,respiratory labor, saturation of 67% in room air, with bilateral and diffuse crackles. Oropharinx culture grew oxacilin sensitive Staphylococcus aureus, Buhloderia cepacea e Stenetrophomonas maltophilia. Image 1: Patient's left hand.Image 2: Chest radiography. Question:Based on the clinical picture, which one is the most likely diagnosis? Primary cilliary dyskinesia Cystic fibrosis with pulmonary exacerbation Acute viral bronchiolitis Bronchiolitis obliterans Previous Next Next Time is Up! Time's up