16th February 2025

A 19-year-old male with no past medical history attends the emergency department with a 48-hour history of severe sore throat with odynophagia, fever and malaise.

A 19-year-old male with no past medical history attends the emergency department with a 48-hour history of severe sore throat with odynophagia, fever and malaise. On examination, he has an erythematous pharynx and enlarged palatine tonsils with bilateral exudates.

A throat swab sent is found to be positive for Streptococcus pyogenes.

Which complication is his condition least likely to put him at risk of?

Select the SINGLE most appropriate option from the list below. Select ONE option only.