This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Microbiology
[{'content': 'The mechanism by which most fungi cause disease is: \nSelect and explain. \nA. Exotoxin production, B. Lecithinase production, C. Hypersensitivity, D. Coagulase production', 'role': 'user'}, {'content': "Answer: C \nExplanation: Hypersensitivity Diseases\xa0\nHumans are continually exposed to air-borne fungal spores and other fungal elements present in the environment. These spores can be antigenic stimulants and depending on individual's immunological status may induce a state of hypersensitivity by production of immunoglobulins or sensitized lymphocytes. Rhinitis, bronchial asthma, alveolitis, and various forms of atopy are the clinical manifestations of hypersensitive pneumonitis. The clinical manifestations of the hypersensitivity disease are seen only in sensitized person, after repeated exposure to the fungus, fungal metabolites, or other cross-reactive materials. Allergies to the fungal spores are manifested primarily by an asthmatic reaction including rapid bronchial constriction mediated by IgE, eosinophilia, and positive hypersensitivity skin test reaction. These are caused due to immediate hypersensitivity reactions of the host to fungal spores.\xa0\nParija SC. Textbook of Microbiology & Immunology. Elsevier Health Sciences; 2014. Page:595", 'role': 'assistant'}]