An 8-Year-Old Boy Was Examined by a Pediatrician and Found

An 8-year-old boy was examined by a pediatrician and found to have a painful swelling below and behind the angle of the jaw on the left side. The skin over the swelling was red and hot. Palpation of the neck revealed a tender firm swelling beneath the anterior border of the sternocleidomastoid muscle on the left side. The right side of the neck was normal. Examination of the pharynx and palatine tonsils showed marked redness of the mucous membrane and enlargement of both tonsils, especially the one on the left. The left tonsil also showed a yellow exudate draining from the tonsillar crypts.
-The following symptoms and signs in this patient were consistent with a diagnosis of an acute bacterial infection under the nail folds (paronychia) of the right thumb except which?

A) Some tender lymph nodes could be palpated in the infraclavicular fossa.
B) The patient's temperature was raised.
C) The infection had spread into the lymph vessels draining the finger.
D) The red streaks on the front of the forearm were caused by the local vasodilatation of the blood vessels along the course of the lymph vessels.
E) The lymph vessels from the thumb drain into the supratrochlear node, which was inflamed and enlarged.