A 4-Year-Old Boy Is Brought to the Office Due to Skin

question 266

Multiple Choice

A 4-year-old boy is brought to the office due to skin lesions on his chin for the past 2 days.  Temperature is 36.1 C (97 F) .  The patient is well-appearing.  There are mildly tender perioral papules and pustules, some of which appear to have broken down and are covered with amber-colored crusting.  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?

• A)Ascending weakness
• B)Facial puffiness and dark urine
• C)Fatigue and heart murmur
• D)Joint pain and eye redness
• E)Unilateral facial drooping