A 6-year-old boy was brought to the pediatric clinic.

His mother indicated he had been ill for several days with fever and general lethargy. The morning of the visit, the boy told his mother that his back hurt, and she had observed what appeared to be blood in his urine. History and physical examination indicated a well-nourished child with an unremarkable health history other than a severe sore throat with fever 3 weeks prior that was medicated with aspirin and throat lozenges. This childs temperature was 101.5F, and the physician noted edema in the childs hands and feet. Blood and urine specimens were collected for a Streptozyme test, complete blood cell count, and urinalysis. Laboratory test results were as follows: Complete Blood Count Red cell count Normal Platelet count Normal White blood cell count 12.7 x 109/L (Normal = 4.810.8 x 109/L) Urinalysis Color red (Normal = straw) Clarity Cloudy (Normal = clear) Protein 2_ (Normal = negative/trace) Blood Large (Normal = none) Streptozyme Positive 1:600