Review Question - QID 210486

A 2-year-old boy is brought in to the pediatrician by his mother because she is concerned that he is not gaining weight. The patient has a good appetite, eats a varied diet of solid foods, and drinks 2 cups of milk a day. He has foul-smelling stools over 6 times a day and a history of recurrent bronchiectasis and chronic sinusitis. The patient’s temperature is 99°F (37.2°C), blood pressure is 70/48 mmHg, pulse is 134/min, and respirations are 38/min with an oxygen saturation of 98% on room air. On physical examination, multiple nasal polyps are appreciated and scattered rhonchi are heard over both lung fields. The patient is below the 25th percentile in height and weight. Genetic testing is ordered to confirm the suspected diagnosis. Which of the following is the most common complication associated with the patient’s diagnosis?