Paper I — 2024 December (Supplementary) (2019 Scheme) — Qii
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Paper I
2024 December (Supplementary) (2019 Scheme) · 100 marks · 180 min
Question
The etiological agent in the above diagnosis is
a) Streptococcus pyogenes
c) Staphylococcus aureus
b) Streptococcus agalactiae
d) Staphylococcus epidermidis
Qii1 marksMCQs
Answer
- [x] a) Streptococcus pyogenes
Streptococcus pyogenes (Group A beta-haemolytic Streptococcus) is the causative agent of the streptococcal pharyngitis that triggers acute rheumatic fever and, with repeated infections, progressive rheumatic heart disease, via molecular mimicry between the streptococcal M protein and cardiac tissue antigens. S. agalactiae (Group B) is associated with neonatal sepsis/meningitis, not rheumatic fever; S. aureus and S. epidermidis are staphylococcal species associated with infective endocarditis and device-related infections respectively, not rheumatic heart disease.