A 36-year-old man who immigrated to the United States 15 years ago and lived in a crowded resettlement camp before coming to the United States presents with a cough that has been bothering him for several weeks. He has also lost 10 pounds. A gamma interferon release blood test is positive. Which of the following factors is known to be most important in triggering the granulomatous reaction to wall off and contain the infection?
A) Cord factor
B) Mycolic acid
C) Purified protein derivative (PPD)
D) Sulfatides
E) Wax D
Correct Answer:
Verified
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