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Severe exudative pharyngitis, fever, and malaise, tender cervical lymph nodes, but not preauricular lymphadenopathy are typical of:

a) Group A Streptococcal pharyngitis
b) Infectious mononucleosis
c) Infectious parotitis
d) Influenza

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Final answer:

Symptoms such as severe exudative pharyngitis, fever, malaise, and tender cervical lymph nodes, without preauricular lymphadenopathy, are typical of Group A Streptococcal pharyngitis, caused by Streptococcus pyogenes. This is a highly contagious bacterial infection commonly known as strep throat, diagnosed through rapid enzymes immunoassay or culture identification and treated effectively with antibiotics such as amoxicillin or penicillin G.

Step-by-step explanation:

Group A Streptococcal Pharyngitis

Severe exudative pharyngitis, fever, and malaise, tender cervical lymph nodes, but not preauricular lymphadenopathy are typical of Group A Streptococcal pharyngitis (strep throat). This condition is caused by the bacteria Streptococcus pyogenes, belonging to the Lancefield group A, ß-hemolytic Streptococcus. The hallmark indications of this illness include a fever higher than 38 °C (100.4 °F), intense throat pain, erythema with pharyngeal inflammation, swollen tonsils with possible pus patches, and petechiae on the palate. Additionally, swollen submandibular lymph nodes are commonly noted.

Streptococcus pyogenes is a highly contagious pathogen, which can cause symptoms quickly after exposure and is primarily transmitted through droplet transmission from coughing and sneezing. It is the most common cause of bacterial pharyngitis and can be overseen by a rapid enzyme immunoassay for the group A antigen or more reliably by culture identification.

Treatment for strep throat commonly includes antibiotics such as oral amoxicillin or intramuscular penicillin G, which remain effective due to the limited resistance observed in this bacterium. The accurate diagnosis and prompt treatment are essential to avoid possible complications like acute rheumatic fever, which can have serious effects on health.

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