What is the main way Mycobacterium ulcerans causes tissue damage?

Question

What is the main way  Mycobacterium ulcerans  causes tissue damage?

Accepted Answer

It releases a toxin that interferes with protein production in cells

Answer

It releases Sec61 which binds to cells and kills them

Answer

It releases mycolactone which suppresses the local immune system

Answer

Via incidental neutrophil damage to host tissue when destroying infected cells

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