A six-year-old female was admitted to the hospital with 1-we…

A six-year-old female was admitted to the hospital with 1-week history of fever with sore throat and headache.  She had been given an oral beta-lactam by a local physician.  The day before admission she had developed pain and swelling in her right ankle.  When evaluated on the day of admission, she was noted to have a pronounced systolic heart murmur consistent with mitral valve regurgitation.  The likely infectious agent: