**Core Concept**
Diphtheria is a bacterial infection caused by Corynebacterium diphtheriae, characterized by the production of a toxin that leads to local tissue damage and potentially life-threatening systemic complications. The severity of diphtheria can vary depending on the strain and the host's immune response.
**Why the Correct Answer is Right**
The most dangerous variant of diphtheria is the **gravis** type, which produces a highly toxic form of the diphtheria toxin (Dtx). This toxin is responsible for the local tissue damage and systemic complications associated with diphtheria, such as myocarditis, neuropathy, and respiratory failure. The gravis type is more virulent than the **mitis** or **intermedias** types, which produce less toxic forms of the toxin.
**Why Each Wrong Option is Incorrect**
* **Option A:** The **mitis** type of diphtheria is less virulent than the gravis type and typically produces milder symptoms.
* **Option B:** The **intermedias** type of diphtheria is also less virulent than the gravis type and typically produces symptoms that are intermediate in severity between those of the mitis and gravis types.
* **Option D:** There is no widely recognized variant of diphtheria known as the **b** type.
**Clinical Pearl / High-Yield Fact**
The diphtheria toxin works by inhibiting protein synthesis in host cells, leading to cell death and tissue damage. This toxin is highly specific for eukaryotic cells, which is why it is so effective at causing damage to human tissues.
**Correct Answer:** C.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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