You are answering a USMLE-style medical question. Question: A 36-year-old recent immigrant from India presents with a face similar to that seen in the image A. Examination of his face reveals skin that is thick and contains many lesions. The patient complains that he has experienced a loss of sensation in his toes and fingertips, which has caused him to injure himself often. Biopsy of the skin is likely to reveal bacteria that are: Options: A) Acid-fast B) Catalase-negative C) Thermophiles D) Tennis-racket shaped Reply with ONLY the letter of the correct answer (A, B, C, or D). No explanation.