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A 25-year-old female presents to the clinic with a 3-month history of recurrent sinusitis, bronchitis, and otitis media. She says she has been constantly feeling fatigued and tired. She also reports recurrent, painful skin abscesses. The results of her medical history indicate that she was hospitalized for Pneumocystis jiroveci pneumonia when she was a toddler. What is the most appropriate diagnosis?
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E