A Non-Vaccinated 5-Year-Old British Child Just Returning from Africa Presents

Multiple Choice

A non-vaccinated 5-year-old British child just returning from Africa presents with a severe sore throat but little fever. The throat has a grayish exudate on the sides of the pharynx and the child has a swollen neck. Clinical suspicion is of a disease with a circulating toxin inhibiting protein synthesis. What additional tissues are frequently involved?

A) Skin
B) Kidneys
C) Heart and nerves
D) Liver and kidneys
E) Ears and sinuses