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

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

Correct Answer:

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