Previous Next A 62-year-old woman presents to the emergency department for evaluation of a very

Previous Next A 62-year-old woman presents to the emergency department for evaluation of a very painful spreading skin infection that started as an ulcer on her foot. She has type 2 diabetes mellitus that is poorly controlled. Physical exam reveals erythema and crepitus on the lower limb with skin breakdown along an extensive portion of the leg. Tissues separate readily from the fascial plane, prompting a diagnosis of necrotizing fasciitis. Which one of the following toxins is most often associated with this condition? A. Diphtheria toxin B. Group B Streptococcus toxin C. Exfoliative toxin O D. Edema toxin E. Streptococcuspyrogenic exotoxin A OF. Streptokinase O G. TSST-1

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