KROK 1 2013 – Question 156 · KROK (Medicine) · Pathophysiology

10 days after having quinsy caused by beta-hemolytic streptococcus a 6-year-old child exhibited symptoms of glomerulonephritis. What mechanism of glomerular lesion is most likely in this case?

  1. A. Anaphylaxis
  2. B. Atopy
  3. C. Cellular cytotoxicity
  4. D. Immunocomplex
  5. E. Antibody-dependent cytolysis cell-mediated
Hint

Use the timing, about ten days after streptococcal infection, to decide which hypersensitivity mechanism needs time for antibody to form before it damages the glomerulus.

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