A 12-Year-Old Boy Is Brought to the Office with Fever

A 12-year-old boy is brought to the office with fever, chills, and a rash that appeared this morning.  Two days earlier, the child started complaining of a sore throat.  His temperature is 38.3 C (101 F) .  Examination shows a diffuse erythematous rash on his chest and abdomen that blanches with pressure, along with numerous 1- to 2-mm papules.  The throat is erythematous with gray-white tonsillar exudates and the tongue is bright red.  Which of the following complications is most likely to develop in this patient?

A) Aplastic anemia
B) Coronary artery aneurysm
C) Encephalitis
D) Orchitis
E) Rheumatic fever

Correct Answer:

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