Snapshot A 35-year-old woman presents to a clinic in Australia for evaluation of fever, fatigue, and productive cough for 1 week. She had been doing a work-stay program on a sheep farm that specialized in exporting high-quality organic wool. On physical exam, she has rhonchi in the left lower lobe of the lung and chest radiography confirms the diagnosis of pneumonia. Given her occupational exposure, she is started on doxycycline. Introduction Classification login to view 6 more bullets Epidemiology login to view 6 more bullets Pathogenesis login to view 3 more bullets Prevention login to view 1 more bullet Prognosis login to view 2 more bullets Presentation Symptoms login to view 8 more bullets Physical exam login to view 17 more bullets Imaging Chest radiography login to view 4 more bullets Echocardiography login to view 4 more bullets Studies Labs login to view 6 more bullets Making the diagnosis login to view 2 more bullets Differential Tularemia login to view 2 more bullets Bacterial endocarditis login to view 5 more bullets Treatment Medical login to view 12 more bullets Complications Adverse fetal outcomes in pregnant women