This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Chronic Inflammation, Subject name: Pathology
Granulomatous inflammatory reaction is caused by all, except: 
Select and explain. 
A. M. tuberculosis, B. M. leprae, C. Yersinia pestis, D. Mycoplasma
D: Mycoplasma
Answer: D: Mycoplasma 
Explanation: Granulomatous inflammation It is a distinctive pattern of chronic inflammatory reaction characterized by focal accumulations of activated macrophages, which often develop an epithelial-like (epithelioid) appearance. Tuberculosis is the prototype of the granulomatous diseases, Other granulomatous diseases:- Sarcoidosis Crohn's disease Cat-scratch disease Lymphogranuloma inguinale Leprosy Brucellosis Syphilis Yersinia has also been mentioned to be associated with granulomatous inflammation. So, the answer to exclusion is Mycoplasma.