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Microscopy of sputum revealed acid-fast bacilli stained red against a blue background using Ziehl-Neelsen staining. What disease does this finding suggest?

  • A. Tuberculosis
  • B. Diphtheria
  • C. Pneumonia
  • D. Leprosy
Correct Answer: A

Rationale: The presence of acid-fast bacilli stained red against a blue background indicates mycobacteria, specifically Mycobacterium tuberculosis in this case. Ziehl-Neelsen staining is commonly used to detect tuberculosis. Diphtheria is caused by Corynebacterium diphtheriae, which does not stain with Ziehl-Neelsen. Pneumonia is a general term for lung infections caused by various pathogens. Leprosy is caused by Mycobacterium leprae, which requires special staining methods different from Ziehl-Neelsen.