Pathogenesis of diphtheria is attributed to
**Core Concept**
Diphtheria is a bacterial infection caused by Corynebacterium diphtheriae, leading to the production of a toxin that causes tissue damage. The pathogenesis of diphtheria involves the bacterium's ability to colonize the mucous membranes and produce a potent exotoxin.
**Why the Correct Answer is Right**
The toxin is produced by the bacterium through a complex process involving the enzyme diphtheria toxin (DT) and its precursor, diphtheria toxin repressor (DtxR). The toxin is then secreted into the surrounding tissue, where it inhibits protein synthesis by inactivating the elongation factor eEF-2. This leads to the characteristic tissue damage and necrosis seen in diphtheria.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not specify the bacterium responsible for diphtheria. While Corynebacterium diphtheriae is the primary cause, other species can also produce diphtheria toxin.
**Option B:** This option is incorrect because it does not mention the toxin's mechanism of action. While the toxin is responsible for the disease's pathogenesis, its precise mechanism involves the inhibition of protein synthesis.
**Option C:** This option is incorrect because it does not specify the bacterium or the toxin involved. While the toxin is the key to diphtheria's pathogenesis, the bacterium responsible is Corynebacterium diphtheriae.
**Clinical Pearl / High-Yield Fact**
The diphtheria toxin's mechanism of action is a classic example of a ribosome-inactivating toxin, which inhibits protein synthesis by cleaving the 28S rRNA subunit of the 60S ribosomal subunit.
**Correct Answer: C. Corynebacterium diphtheriae.**