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.

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