Ehrlichia chaffeensis is causative agent of –
**Core Concept**
Ehrlichia chaffeensis is a tick-borne bacterium that causes a type of anaplasmosis, specifically human monocytic ehrlichiosis (HME). This infection occurs when the bacterium is transmitted to humans through the bite of an infected tick, typically the lone star tick (Amblyomma americanum).
**Why the Correct Answer is Right**
Ehrlichia chaffeensis infects monocytes and macrophages, leading to a severe inflammatory response and potentially life-threatening complications. The bacterium is an obligate intracellular pathogen, meaning it requires a host cell to replicate and survive. The primary clinical manifestations of HME include fever, headache, and myalgia, often accompanied by thrombocytopenia and elevated liver enzymes.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because Ehrlichia chaffeensis is not the causative agent of Anaplasma phagocytophilum, which causes human granulocytic anaplasmosis (HGA).
**Option B:** This option is incorrect because Rickettsia rickettsii is the causative agent of Rocky Mountain spotted fever (RMSF), a different tick-borne disease.
**Option C:** This option is incorrect because Bartonella henselae is the causative agent of cat-scratch disease (CSD), a bacterial infection transmitted through the scratch or bite of an infected cat.
**Option D:** This option is incorrect because Coxiella burnetii is the causative agent of Q fever, a zoonotic disease caused by inhalation of bacteria from infected animals.
**Clinical Pearl / High-Yield Fact**
When encountering a patient with fever, headache, and myalgia, consider tick-borne illnesses, including HME, especially if the patient has a history of tick exposure or lives in an endemic area.
**Correct Answer:** C.