mash
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A patient with rheumatic fever develops a sore throat from which beta-hemolytic streptococci are cultured. The patient is started on treatment with penicillin, and the sore throat resolves within several days. However, 7 days after initiation of penicillin therapy the patient develops a fever of 103°F, a generalized rash, and proteinuria. This MOST
probably resulted from
A. recurrence of the rheumatic fever.
B. a different infectious disease.
C. an IgE response to penicillin.
D. an IgG-IgM response to penicillin.
E. a delayed hypersensitivity reaction to penicillin.
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| intern_doc
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E. I think
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| docface
Forum Senior
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penicillin can cause interstitial nephritis though frank proteinuria is rare in interstitial nephritis so if no other info is provided then answer is e
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| mash
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ans given is D but i dont know why..
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| bluestar
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could it be serum sickness?
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| ghizou
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i think is serum sickness two: type III hypersensitivity reaction, and penicillin have a wide range of reactions: I to IV.
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