*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.
Causes of scarlet fever. Scarlet fever is caused by a bacterium called Streptococcus pyogenes, or group A beta-hemolytic streptococcus. This is the same bacterium that causes strep throat. When the bacteria release toxins scarlet fever symptoms occur, including the rash, Pastia's lines, red tongue and flushed face.auses of scarlet fever. Scarlet fever is caused by a bacterium called Streptococcus pyogenes, or group A beta-hemolytic streptococcus. This is the same bacterium that causes strep throat. When the bacteria release toxins scarlet fever symptoms occur, including the rash, Pastia's lines, red tongue and flushed face.