Is it possible that another bacterial infection is also present?

The answer was in front of my face the whole time. It's because when the cell wall of the bacteria is lysed and the cell dies, it releases endotoxins.

Niesseria is a gram-negative infection. Because it's bean-shaped and paired capsules it creates a protection. Without a host neisseria cannot survive long outside of the host cell where they are exposed to drying, cold, acidity, or light. Because it is gram negative and lives within a host cell, when destroyed by gentamycin, it releases a harmful endotoxin A. Which can only be released by the destruction of a gram negative cell because it has the lipopolysachrides layer (Lipid A) Lipid A is an endotoxin which is toxic in the bloodsteam and GI tract. It can cause shock,vasodilation, inflammation, and blood clotting in humans. Which is the cause of her worsening symptoms. Although gram negative cells are more susceptable to antibitic therapy, when they are destroyed kills you by the release of Endotoxin A. I hope this helps everyone who has this question on the Micro test 2!! LOL

Thanks for the reply. Although this wasn't initially for the test, it did show up there later. LOL.

what are the effects of erythromycin on 50s subunit of ribosome on a prokaryotic cell