## **Core Concept**
The question tests knowledge of fungal infections, specifically those that affect reticuloendothelial cells. Reticuloendothelial cells are part of the immune system and include macrophages and dendritic cells. Certain fungi have a predilection for infecting these cells.
## **Why the Correct Answer is Right**
The correct answer, **Histoplasma capsulatum**, is a dimorphic fungus that is known to infect reticuloendothelial cells, particularly macrophages. It does so by being engulfed by these cells but then surviving inside them by inhibiting the fusion of the phagosome with the lysosome. This unique ability makes it exclusively seen in reticuloendothelial cells.
## **Why Each Wrong Option is Incorrect**
- **Option A:** *Cryptococcus neoformans* primarily infects the lungs and central nervous system, not exclusively reticuloendothelial cells. It can be found in various body sites, including the cerebrospinal fluid.
- **Option B:** *Coccidioides immitis* causes coccidioidomycosis and primarily affects the lungs. While it can disseminate, it is not exclusively seen in reticuloendothelial cells.
- **Option D:** *Blastomyces dermatitidis* causes blastomycosis and can affect multiple organ systems, including the lungs, skin, and bones, but it is not exclusively found in reticuloendothelial cells.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that **Histoplasma capsulatum** infection often presents with systemic symptoms and can mimic tuberculosis or histoplasmosis. A classic clinical scenario is a patient with histoplasmosis who has a history of bird or bat exposure, as these animals can carry the fungus.
## **Correct Answer:** . Histoplasma capsulatum
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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