The nurse is reviewing a history and physical examination of a 22-year-old man hospitalized for acute glomerulonephritis.Which finding best alerts the nurse to a potential causative agent?

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Glomerulonephritis is primarily seen in children and young adults,and affects males more often than females.It most commonly occurs about 2 to 3 weeks after a group A beta-hemolytic streptococcal infection,such as "strep throat" or impetigo; however,it can occur in response to bacterial,viral,or parasitic infections elsewhere in the body.It is an immunologic problem caused by an antigen-antibody reaction.International travel and unprotected sexual activity are not causative agents for glomerulonephritis.While recent cipro therapy does indicate a recent bacterial infection,it does not cause glomerulonephritis.

The Nurse Is Reviewing a History and Physical Examination of a 22-Year-Old