• Pathophysiology: secondary effect from the endotoxin produced by Type A ^-hemolytic Streptococcus
• SSx: tonsils and pharynx deep red, strawberry tongue, perioral skin erythema and desquamation, dysphagia, malaise, severe cervical lymphadenopathy
• Dx: clinical exam and history, cultures and sensitivity, Dick Test (involves injection of diluted erythrogenic toxin which elicits local erythema if positive)
• Rx: antibiotics (IV penicillin G) and oral hygiene
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