Answer:
The correct answer is ''necrotizing fasciitis.''
Explanation:
Streptococcus pneumoniae belongs to the Streptococcaceae family. It is a Gram positive bacterium, normally facultative anaerobic, catalase negative, immobile, with an oval shape, surrounded by a capsule (does not present Lancefield antigens) and is usually grouped into chains of two (diplococcus) or more bacteria. It can give rise to a wide range of manifestations, among them, the most frequent but the least serious are upper respiratory tract infections, such as: otitis media, sinusitis, etc; while the less frequent but the most serious are: pneumococcal pneumonia, invasive pneumococcal disease, meningitis and septicemia. Necrotizing fasciitis is a rapidly progressive infection that affects the skin, subcutaneous cellular tissue, superficial and deep fascia, causing tissue necrosis and severe systemic toxicity, which, if not treated in a timely manner, is invariably fatal. The most common germs in immunocompetent people are Streptococcus pyogenes and Staphylococcus aureus. In patients with a defined gateway in the skin, the incidence of S. aureus is high. Deep necrotizing processes can be mono- or polymicrobial. In monomicrobial processes, pathogenesis is largely mediated by toxins (FN by S. pyogenes, FN by S. aureus, clostridial myonecrosis). In polymicrobial processes there is a synergism between aerobic and anaerobic germs. The most common aerobes are Enterobacteriaceae, Streptococcus group A, and S. aureus. The predominant anaerobes are Peptostreptococcus spp, Bacteroides fragilis group, Prevotella sp, Porphyromonas spp and Clostridium sp. Streptococcus pneumoniae belongs to the Streptococcaceae family.
