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DIFFICULTY: HARD
A 65 year old female presents to you reporting that she has been feeling increasingly fatigued and has developed a fine hand tremor. She has lost considerable weight despite eating well. Her thyroid gland is diffusely and symmetrically enlarged. Her T4 levels are elevated, and she was started on antithyroid medications one month ago. She comes to her follow-up appointment reporting a fever and a sore throat. The most likely reason for her fever and sore throat is:
A
B
C
D
E