A 25 years old female develops serous otitis media of left ear with cough and occasional hemoptysis and hematuria and epistaxis for one and half months her. Hemoglobin is 7 gm. B.P. > 170/100, proteinuria +++, RA positive (+ve) and ANCA positive (+ve), the likely cause is:
Wegener's granulomatosis Rheumatoid arthritis Rapidly proliferative glomerulonephritis Good Pasteur's syndrome