A 13-year-old boy is brought to the physician because of a nonpruritic, painless rash on his face for 5 days. His development is adequate for his age and immunizations are up-to-date. He appears healthy and well-nourished. His temperature is 37.0°C (98.6°F) and pulse is 90/min. Examination shows a nontender rash just inferior to the lower lip. A wound culture is taken, and Gram stain shows gram-positive cocci in chains. Which of the following symptoms would be most likely to develop as a potential complication of this patient's infection?

Question

A 13-year-old boy is brought to the physician because of a nonpruritic, painless rash on his face for 5 days. His development is adequate for his age and immunizations are up-to-date. He appears healthy and well-nourished. His temperature is 37.0°C (98.6°F) and pulse is 90/min. Examination shows a nontender rash just inferior to the lower lip. A wound culture is taken, and Gram stain shows gram-positive cocci in chains.  Which of the following symptoms would be most likely to develop as a potential complication of this patient's infection?

Quizplus · Accepted Answer

Eductional Objective: Poststreptococcal glomerulonephritis is a potential complication of group A streptococcal infection (eg, impetigo, pharyngitis).  Symptoms include proteinuria (often associated with periorbital or generalized edema) and hematuria.  Acute rheumatic fever is a postinfectious sequelae of streptococcal pharyngitis only, not impetigo.

A 13-Year-Old Boy Is Brought to the Physician Because of a Nonpruritic