A 60 year old male presents with a 2 day history of a severe left ear ache with a burning sensation in the ear and loss of taste. There is left sided weakness of both upper and lower facial muscles. Facial sensation is normal. A few vesicles are seen in the pharynx. What is the most likely diagnosis ?

A. Bells palsy

B. Diphtheria

C. Acoustic neuroma

D. Ramsay Hunt syndrome
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