*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.
However, there has been a patent on two specific proteins that have been found to prevent diseases caused by Streptococcus pyogenes. The two proteins are âdesignated Cpa1 and Cpa49 which are obtained from the collagen binding region in Streptococcus pyogenes.