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A 12-year-old boy presents with a 3-day history of fever, right lower quadrant abdominal pain, vomiting, and watery diarrhea. An abdominal ultrasound reveals significant mesenteric lymphadenitis and thickening of the terminal ileum. At presentation, he is also noted to have a prominent exudative pharyngitis. Which organism is most likely responsible for this constellation of findings?

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