Streptococcus pyogenes (Group A Strep) Quiz: Ace Your Exams
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A 7-year-old girl is brought to the pediatrician for evaluation of a sore throat and fever. The patient’s parent states, “She has been having a sore throat for three days now, and she’s also had some difficulty eating.” Past medical history is unremarkable, and she is up to date on all vaccinations. Physical examination demonstrates bilateral tonsillar swelling with exudate and submandibular lymphadenopathy. Additional physical examination findings are demonstrated below.

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Image reproduced from Wikimedia Commons
Which of the following substances synthesized by the causative pathogen is most likely responsible for this patient’s dermatologic findings?

Image reproduced from ">Wikimedia Commons

Image reproduced from Wikimedia Commons
Which of the following substances synthesized by the causative pathogen is most likely responsible for this patient’s dermatologic findings?
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