*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.
A bacterium called streptococcus pyogenes is accountable for causing scarlet fever. Streptococcus pyogenes is the very same bacterium that causes strep throat. Grownups experience symptoms of scarlet fever when the bacteria launch toxins. In addition, some specific strains of streptococcus pyogenes are connected to skin infections, such as impetigo.