A 2-year-old unvaccinated child is brought to the emergency department with a 12-hour history of high fever, difficulty breathing, drooling, and inspiratory stridor. A lateral neck radiograph demonstrates a “thumbprint” sign consistent with epiglottitis. Blood cultures grow small, gram-negative pleomorphic coccobacilli. Which virulence factor of this pathogen is most directly responsible for its ability to resist opsonization and phagocytosis?
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