<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 46-year-old woman presents to her primary care physician with complaints of increasing left upper quadrant discomfort. She has a known history of type 1 Gaucher disease. On physical examination, her spleen is palpable 8 cm below the costal margin. Routine laboratory work reveals severe pancytopenia. After consultation with the patient on the risks of her condition, the patient decides to undergo a splenectomy. Which of the following is more likely to occur as a consequence of splenectomy in this patient?? A: Anemia, B: Pneumococcal septicemia, C: Thrombocytopenia, D: Staphylococcal septicemia, E: Leukopenia,  <response>: This is a clinical vignette about a patient with Gaucher disease who is undergoing splenectomy. The key points are:- 46-year-old woman with type 1 Gaucher disease - Presenting with left upper quadrant discomfort and palpable spleen- Known to have severe pancytopenia - Decides to undergo splenectomy after consultation on risksThe question asks about the most likely consequence of splenectomy in this patient.The spleen plays an important role in filtering blood and removing old red blood cells. It also contains a reservoir of platelets and helps fight certain kinds of infections. Removal of the spleen increases the risk of certain complications.In Gaucher disease, the spleen becomes enlarged due to accumulation of glucocerebrosides. Splenectomy helps relieve discomfort from an enlarged spleen. However, it increases the risk of certain post-splenectomy infections and thrombotic complications due to loss of the spleens filtering function.Of the choices given, pneumococcal septicemia choice B is the most likely immediate complication in this patient following splenectomy. Loss of the spleens ability to filter blood and fight encapsulated bacteria like Streptococcus pneumoniae increases the risk of pneumococcal infections. The other choices are less likely immediate consequences.B: Pneumococcal septicemia 