The pathogen causing pneumonia in patients who got exposed to rabbit is:
Hmm, Francisella tularensis comes to mind. Tularemia, right? It's known as rabbit fever because it's commonly contracted through handling infected rabbits. The symptoms can include pneumonia, especially if the infection is inhaled or through the respiratory tract. So that's probably the correct answer here.
Now, let's think about the other options. Psittacosis is caused by Chlamydia psittaci, usually from birds, not rabbits. Q fever is Coxiella burnetii, which is from cattle, sheep, etc. Legionella pneumophila causes Legionnaires' disease, which is more about water sources and air conditioning systems. So none of these are linked to rabbit exposure.
The core concept here is zoonotic pathogens transmitted from animals to humans. Tularemia is a classic example from rabbits. The clinical pearl is to remember the animal vectors for these infections. Tularemia is rabbits, psittacosis is birds, Q fever is livestock, and Legionella is water-related. That's a high-yield fact for exams.
**Core Concept**
The question tests knowledge of zoonotic pathogens, specifically those transmitted from rabbits to humans. *Francisella tularensis*, the causative agent of tularemia ("rabbit fever"), is a key zoonotic pathogen associated with rabbit exposure. It can cause respiratory symptoms, including pneumonia, via inhalation of aerosols or direct contact.
**Why the Correct Answer is Right**
*Francisella tularensis* is a Gram-negative coccobacillus that causes tularemia. Rabbits are common reservoirs, and infection occurs through handling infected animals, tick bites, or inhalation. The respiratory form (pneumonic tularemia) presents with fever, cough, and pneumonia. The organism’s ability to survive in macrophages and trigger a robust inflammatory response underlies its pathogenicity.
**Why Each Wrong Option is Incorrect**
**Option A:** *Chlamydia psittaci* causes psittacosis, transmitted via birds (e.g., parrots), not rabbits.
**Option B:** *Coxiella burnetii* causes Q fever, linked to livestock (sheep, goats), not rabbits.
**Option C:** *Legionella pneumophila* causes Legionnaires’ disease, contracted from water systems, not animal exposure.
**Clinical Pearl / High-Yield Fact**
Remember the "zoonotic triad":
- **Rabbits** → *Francisella tularensis*
- **Birds** → *Chlamydia psittaci*
- **Livestock** → *Coxiella burnetii*
Tularemia is a classic "rabbit fever" with pneumonic potential, often missed in differential diagnoses of atypical pneumonia.
**Correct Answer: C. *Francisella tularensis***