*Adapted from the National Dysphagia Diet: Standardization for Optimal Care. American Dietetic Association Â© 2002. Level 2 Dysphagia Mechanically Altered*. This diet consists of foods that are moist, soft-textured and easily formed into a bolus. All. foods on Level 1 are allowed. Meats and other select foods may be ground or minced into. small pieces no larger than Â¼â.
Causes. Rheumatic fever can occur after an infection of the throat with a bacterium called Streptococcus pyogenes, or group A streptococcus.Group A streptococcus infections of the throat cause strep throat or, less commonly, scarlet fever.heumatic fever can occur after an infection of the throat with a bacterium called Streptococcus pyogenes, or group A streptococcus.
Leptospirosis Causes. Leptospirosis is an infectious disease caused by a type of bacteria called a spirochete. Leptospirosis can be transmitted by many animals such as rats, skunks, opossums, raccoons, foxes, and other vermin.It is transmitted though contact with infected soil or water.eptospirosis Facts. 1  Leptospirosis is an infectious disease caused by a bacterium. 2  Leptospirosis is transmitted to humans by direct exposure to urine or tissue of an infected animal. 3  Leptospirosis typically progresses through two phases of nonspecific symptoms.