<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 40-year-old sexually active woman with type 2 diabetes mellitus is admitted to a hospital 2 weeks after an uncomplicated cholecystectomy for pain, itching, and erythema at the incision site. Labs show a hemoglobin A1c of 6.5, and wound cultures reveal mixed enteric bacteria. She is treated with appropriate antibiotics and discharged after her symptoms resolve. One week later, she is re-admitted with identical signs and symptoms. While in the hospital, the patient eats very little but is social and enjoys spending time with the staff. She repeatedly checks her own temperature and alerts the nursing staff when it is elevated. One morning, you notice her placing the thermometer in hot tea before doing so. What is the most likely cause of this patients recurrent infection andor poor wound healing?? A: Colonization with methicillin-resistant Staphylococcus aureus MRSA, B: Poor wound healing due to uncontrolled diabetes mellitus, C: Poor wound healing due to vitamin C deficiency, D: Recurrent infections due to an immune deficiency syndrome, E: Self-inflicted wound contamination with fecal matter,  <response>: This is a patient with recurrent surgical site infections after cholecystectomy. The key findings are:- Type 2 diabetes mellitus with suboptimal control HbA1c 6.5- Wound cultures growing enteric bacteria - Rapid recurrence of identical symptoms after antibiotic treatment- Poor oral intake during hospitalization - Attention-seeking behaviors like checking her own temperature and alerting nurses when febrile- Placing thermometer in hot tea to cause falsely elevated temperature readingsThe poor diabetes control and enteric bacteria growth initially point towards poor wound healing and susceptibility to infection in an immunocompromised host. However, the rapid recurrence after appropriate antibiotic treatment along with the patients attention-seeking behaviors and self-inflicted fever suggests factitious disorder with purposeful contamination of the surgical wound with fecal matter containing enteric organisms.E: Self-inflicted wound contamination with fecal matter 