Middle ear damage in cases of <em>S. pneumoniae</em> infections are caused primarily by the: (Choose all that apply)

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Middle ear damage in cases of S. pneumoniae infections are caused primarily by the: (Choose all that apply)

More than one answer is correct. Please select all correct answers

	Action of outer membrane proteins
	Production of hyaluronidases
	Release of cell wall cytokines
	Production of pneumolysin

Middle ear damage in cases of S. pneumoniae infections are caused primarily by the: (Choose all that apply)