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QUESTION Produced by rare invasive strains and scarlet fever strains this bacterium, a Gram-positive coccus in chains, this s
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Option C is correct. Streptococcal pyogenic exotoxin (SPE) causes streptococcal toxic shock syndrome. Bacterial exotoxins and virulence factors spread into deep tissues and bloodstream and induces cytokine cascade.

Excessive cytokine production leads to fever, rash and SIRS.

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