<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 54-year-old man is brought to the emergency department 1 hour after an episode of loss of consciousness that lasted 3 minutes. Since awakening, he has had weakness of the left arm and leg, and his speech has been slurred. He has had a fever for 10 days. He has not had vomiting or headache. He was treated for bacterial sinusitis 3 weeks ago with amoxicillin-clavulanate. He has hypertension, hypothyroidism, hyperlipidemia, and type 2 diabetes mellitus. Current medications include amlodipine, hydrochlorothiazide, metformin, simvastatin, aspirin, and levothyroxine. His temperature is 38.6C 101.4F, pulse is 106min, and blood pressure is 16090 mm Hg. He is alert and oriented to person, place, and time. Examination shows multiple petechiae on his trunk and painless macules over both palms. A new grade 36 systolic murmur is heard best at the apex. He follows commands, but he slurs his words and has difficulty naming common objects. There is left facial droop. Muscle strength is 45 in the left upper and lower extremities. Deep tendon reflexes are 3 on the left side and 2 on the right side. The left big toe shows an extensor response. Fundoscopic examination shows retinal hemorrhages with white centers. Laboratory studies show:Hemoglobin 15.3 gdLLeukocyte count 12,300mm3SerumNa 136 mEqLCl- 103 mEqLK 4.3 mEqLGlucose 108 mgdLCreatinine 1.1 mgdLUrineProtein 1Glucose negativeBlood 1WBC 12hpfRBC 710hpfWhich of the following is the most likely cause of these findings?? A: Ruptured saccular aneurysm, B: Todds paralysis, C: Temporal encephalitis, D: Septic emboli, E: Contiguous spread of infection,  <response>: This is a clinical case scenario describing a 54-year-old man who presents with acute onset neurological deficits including left-sided weakness, slurred speech, and facial droop. He has a history of fever, sinusitis treated with antibiotics, and multiple medical conditions including hypertension, hypothyroidism, hyperlipidemia, and diabetes. On exam he has a new heart murmur, petechiae, retinal hemorrhages, left-sided weakness and hyperreflexia. Labs show mild leukocytosis but are otherwise unremarkable. The acute onset of neurological deficits in the setting of fever suggests a vascular etiology like stroke or hemorrhage. The presence of petechiae, murmur, and retinal hemorrhages points towards endocarditis with septic emboli. The history of recent sinusitis treated with antibiotics raises suspicion for inadequate treatment leading to hematogenous spread. Septic emboli leading to multifocal strokes would explain the acute deficits. The other choices are less likely based on the information provided.D: Septic emboli 