Three Cases of Severe Pharyngitis Were Reported in a Community

Three cases of severe pharyngitis were reported in a community of immigrants.  The patients had thick pharyngeal exudates, neck swelling, and difficulty swallowing.  One of them died from severe heart failure.  The toxin responsible has a mechanism of action most similar to another toxin produced by which of the following bacteria?

A) Pseudomonas aeruginosa
B) Staphylococcus aureus
C) Clostridium difficile
D) Clostridium botulinum
E) Bordetella pertussis
F) Vibrio cholerae

Correct Answer:

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