<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 32-year-old African American woman presents to her family physician complaining of fevers, fatigue, weight loss, joint pains, night sweats and a rash on her face that extends over the bridge of her nose. She has also had multiple sores in her mouth over the past few weeks. She recently had a root canal procedure done without complications. She has no significant past medical history, but has recently had a urinary tract infection. She denies tobacco, alcohol, and illicit drug use. Laboratory evaluation reveals hemolytic anemia. If she were found to have a cardiac lesion, what would be the most likely pathogenetic cause?? A: Bacteremia secondary to a recent dental procedure, B: Abberent flow causing platelet-fibrin thrombus formation secondary to hypercoagulability and malignancy., C: Bacteremia secondary to a urinary tract infection, D: Immune complex deposition and subsequent inflammation, E: Left atrial mass causing a ball valve-type outflow obstruction,  <response>: This is a clinical vignette describing a patient with constitutional symptoms like fevers, fatigue, weight loss, joint pains, night sweats along with some specific findings like facial rash, oral ulcers, hemolytic anemia and history of recent dental procedure and UTI. The question asks about the most likely cause if she were to have a cardiac lesion.The constellation of symptoms and lab findings are classic for systemic lupus erythematosus SLE, which can have cardiac manifestations. SLE is caused by immune complex deposition and inflammation. Choice A can be eliminated since bacteremia from a dental procedure is less likely to cause immune complex disease. Choice B refers to marantic endocarditis from hypercoagulability in malignancy, which does not fit the clinical picture here.Choice C does not explain the symptoms or anemia.Choice E refers to left atrial myxoma, which does not fit.D: Immune complex deposition and subsequent inflammation 