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Review Question - QID 101609

Streptococcus pyogenes (Group A Streptococci) Presentation QID: 101609 (M1.MC.13.150)
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QID 101609 (Type "101609" in App Search)
Physical exam of a 15-year-old female reveals impetigo around her mouth. A sample of the pus is taken and cultured. Growth reveals gram-positive cocci in chains that are bacitracin sensitive. Which of the following symptoms would be concerning for a serious sequelae of this skin infection?
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