This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Microbiology
Several weeks following a severe streptococcal sore throat, a 7-year-old boy develops acute glomerulonephritis with edema, hypeension, and hematuria. Which of the following best describes the propeies of the most likely causative organism? 
Select and explain. 
A. Alpha hemolytic, lysed by optochin, B. Alpha hemolytic, not lysed by optochin, C. Beta hemolytic, can grow in 40% bile and 6.5% sodium chloride, D. Beta hemolytic, inhibited by bacitracin
D: Beta hemolytic, inhibited by bacitracin
Answer: D: Beta hemolytic, inhibited by bacitracin 
Explanation: The most likely cause of glomerulonephritis following streptococcal sore throat is Streptococcus pyogenes. This is the only species in the Group A streptococci, and is characterized by beta hemolysis and inhibition by the antibiotic bacitracin. Streptococcus pyogenes sore throat can also be followed by rheumatic fever. Streptococcus pneumoniae is an example of an alpha hemolytic streptococcus that is lysed by optochin (1st Choice). Streptococcus mutans is an example of an alpha hemolytic streptococcus that is not lysed by optochin (2nd Choice). Enterococcus faecalis is an example of a beta hemolytic streptococcus that can grow in 40% bile and 6.5% sodium chloride (3rd Choice).