Final answer:
The most common cause of community-acquired pneumonia and a major cause of otitis media and meningitis in adults is Streptococcus pneumoniae, a bacteria that interferes with immune response and causes significant inflammation and tissue damage.
Step-by-step explanation:
The most common cause of community-acquired pneumonia, as well as a major cause of otitis media and meningitis in adults, is Streptococcus pneumoniae. This gram-positive bacterium is often found as part of the respiratory tract's normal flora. It causes disease by colonizing the lungs and producing a polysaccharide capsule that interferes with phagocytic clearance.
Virulence factors like pneumolysin O contribute to tissue damage and a pronounced inflammatory response. In the case of otitis media, encapsulated strains of S. pneumoniae are especially prevalent in older infants and children. For meningitis, S. pneumoniae can traverse the blood-brain barrier, leading to inflammation of the meninges. These infections can be severe and require prompt antibiotic treatment.