After designating three hospitals in the area receive supplies of antitoxin, a public alert is broadcast asking anyone who had eaten at a specific restaurant to go to one of the three hospitals for preventative treatment.
Physical exam reveals a moderate fever and swollen, tender cervical lymph nodes.
The CBC revealed an increased white count notable for increased segmented neutrophils and bands. Physical exam reveals a tender left knee joint with minimal swelling and a new grade two heart murmur indicative of possible mitral valve vegetations. The physician orders an ASO, CRP and RF as well as scheduling an ECG and echocargiogram. List 5 exoenzymes associated with Group A beta-hemolytic Streptococcus . The mother explains that her son had been given antibotics two weeks ago for a sore throat.