American Society of Microbiology ABMM ABMM Question # 93 Topic 5 Discussion

American Society of Microbiology ABMM ABMM Question # 93 Topic 5 Discussion

ABMM Exam Topic 5 Question 93 Discussion:
Question #: 93
Topic #: 5

A 30-year-old female who recently returned from a hiking trip in the northeastern United States presents to her physician with a two-week history of a slowly expanding, erythematous rash with central clearing on her thigh. She also reports intermittent fatigue, arthralgias, and mild headache. Serological testing reveals a positive IgM and IgG response to Borrelia burgdorferi. Which of the following mechanisms is MOST significant in the pathogenesis of the clinical manifestations observed in this patient?


A.

Production of potent exotoxins leading to direct tissue damage


B.

Evasion of phagocytosis through a thick polysaccharide capsule


C.

Induction of a strong pro-inflammatory cytokine response by the host


D.

Intracellular replication within macrophages leading to disseminated infection


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