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Surgery General e42b7f46

A 24-year-old woman presents with a 3-day history of fever and cough with rust-colored sputum. He had splenectomy 1 year ago. CXR film indicates consolidation of right lower lobe. Blood cultures are positive for alpha hemolytic gram-positive diplococci. Immunity to the causative organism is based on

A
Alternative complement pathway activation
B
Antibody to fimbriae
C
IgA antibodies to C carbohydrate
D
IgG antibodies to a surface acidic polysaccharide
High-Yield Explanation
This is a history of pneumonia due to S. pneumoniae. The most impoant virulence factor of this organism is capsule. Therefore IgG antibodies to the capsular antigen are protective. Other virulence factors produced by pneumococcus include pneumolysin and amidase (also known as suicidal enzyme).

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