Fever of Unknown Origin is caused by the following organisms in a farmer, who raised goats
## **Core Concept**
Fever of Unknown Origin (FUO) refers to a prolonged febrile illness without an obvious source of infection or inflammation after conducting basic diagnostic tests. Infections are a common cause of FUO, especially in individuals with specific occupational exposures.
## **Why the Correct Answer is Right**
The correct answer, **C. Brucella**, is right because *Brucella* species, particularly *Brucella melitensis*, are commonly found in goats and can be transmitted to humans through contact with infected animals or their products, such as unpasteurized dairy. Farmers who raise goats are at higher risk of exposure to *Brucella*, making it a classic cause of FUO in this population. *Brucella* infections can lead to brucellosis, a zoonotic disease characterized by fever, fatigue, and other nonspecific symptoms, fitting the profile of FUO.
## **Why Each Wrong Option is Incorrect**
- **Option A:** While *Salmonella* infections can cause FUO, they are less specifically linked to goat exposure compared to *Brucella*. *Salmonella* infections are more commonly associated with foodborne illnesses.
- **Option B:** *Francisella tularensis* causes tularemia, which can present as FUO but is more commonly associated with exposure to rabbits, rodents, or contaminated water rather than goats specifically.
- **Option D:** *Bartonella* species can cause FUO but are more commonly associated with cat scratch disease or endocarditis, particularly in immunocompromised patients or those with cat exposure.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl for FUO is to consider the patient's occupation and hobbies to narrow down potential exposures. For someone who raises goats, *Brucella* should be high on the differential diagnosis list. A simple screening test for *Brucella* infection is the Rose Bengal test, and confirmation can be done with blood cultures or serology.
## **Correct Answer:** C. Brucella.