Step 1: The key word is isolation. Isolation means recovering the live organism by growing it, not just detecting its antigen or nucleic acid.
Step 2: Chlamydiae are obligate intracellular bacteria, so they cannot grow on ordinary cell free media. They need living cells. Classic methods are inoculation into the yolk sac of an embryonated hen egg or into cell cultures such as McCoy cells.
Step 3: Among the options, yolk sac inoculation is the only true culture or isolation method. It supports the intracellular growth cycle of Chlamydia.
Step 4: Why the others are wrong. ELISA detects chlamydial antigen, it is a detection test, not isolation. Direct immunofluorescence with antibody detects elementary bodies in a smear, again detection, not isolation. PCR detects chlamydial DNA, which is detection of nucleic acid and not recovery of a living organism.
Conclusion: Isolation is done by yolk sac inoculation, option B.