system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 6-year-old girl is brought to the physician by her father because of a 3-day history of sore throat, abdominal pain, nausea, vomiting, and high fever. She has been taking acetaminophen for the fever. Physical examination shows cervical lymphadenopathy, pharyngeal erythema, and a bright red tongue. Examination of the skin shows a generalized erythematous rash with a rough surface that spares the area around the mouth. Which of the following is the most likely underlying mechanism of this patient's rash?
assistant
Erythrogenic toxin-induced cytokine release