Which among the following causes Malta fever?
**Core Concept**
Malta fever, also known as brucellosis, is a zoonotic disease caused by bacteria of the genus *Brucella*. It is primarily transmitted to humans through contact with infected animals or their products, such as unpasteurized dairy or meat.
**Why the Correct Answer is Right**
Brucellosis is caused by *Brucella* species, with *Brucella melitensis* being one of the most virulent strains. This bacterium is typically acquired through the ingestion of contaminated animal products or through direct contact with infected animals. Once ingested, *Brucella melitensis* can invade the host's cells and replicate, leading to a systemic infection. The pathogenesis of brucellosis involves the evasion of the host's immune response and the survival of the bacteria within macrophages.
**Why Each Wrong Option is Incorrect**
**Option A:** *Treponema pallidum* is the causative agent of syphilis, a different sexually transmitted disease. While both diseases are bacterial infections, they have distinct clinical presentations and modes of transmission.
**Option B:** *Borrelia burgdorferi* is responsible for Lyme disease, a tick-borne illness that presents with different symptoms, such as a characteristic skin rash and arthritis.
**Option D:** *Pseudomonas aeruginosa* is a gram-negative bacterium that causes opportunistic infections, often in immunocompromised individuals. It is not associated with Malta fever.
**Clinical Pearl / High-Yield Fact**
Brucellosis can be challenging to diagnose due to its non-specific symptoms, which may include fever, weight loss, and joint pain. A high index of suspicion and laboratory confirmation are essential for accurate diagnosis.
**β Correct Answer: C. Brucella melitensis**