<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 48-year-old man comes to the physician because of a hypopigmented skin lesion on his finger. He first noticed it 4 weeks ago after cutting his finger with a knife while preparing food. He did not feel the cut. For the past week, he has also had fever, fatigue, and malaise. He has not traveled outside the country since he immigrated from India to join his family in the United States 2 years ago. His temperature is 38.7C 101.7F. Physical examination shows a small, healing laceration on the dorsal aspect of the left index finger and an overlying well-defined, hypopigmented macule with raised borders. Sensation to pinprick and light touch is decreased over this area. Which of the following is the most likely causal pathogen of this patients condition?? A: Pseudomonas aeruginosa, B: Epidermophyton floccosum, C: Mycobacterium leprae, D: Leishmania donovani, E: Malassezia furfur,  <response>: This is a patient with a hypopigmented skin lesion on his finger that developed after he cut his finger with a knife while preparing food. The lesion is associated with decreased sensation. He also has constitutional symptoms like fever, fatigue and malaise. He immigrated from India 2 years ago. This clinical presentation is most consistent with leprosy, which is caused by Mycobacterium leprae. Pseudomonas aeruginosa causes opportunistic infections. Epidermophyton floccosum causes superficial fungal infections like tinea corporis. Leishmania donovani causes visceral leishmaniasis. Malassezia furfur causes superficial fungal infections like tinea versicolor. Therefore, the most likely causal pathogen is Mycobacterium leprae.C: Mycobacterium leprae 