Tularemia -- Francisella Tularensis Flashcards

1
Q

What type of bacteria is Francisella Tularensis?

A

aerobic, gram-negative, non motile and non sporing

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2
Q

What is the main reservoir for Francisella?

A

Rabbits

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3
Q

What is the incubation period fro Francisella?

A

3-5 days

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4
Q

What symptoms do people who develop pneumonic tularemia experience?

A

chest pain, bloody sputum, difficulty breathing

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5
Q

T or F. Francisella is considered a Catergory A biodefense agent.

A

True

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6
Q

What are the virulence factors for Francisella?

A

LPS - decreases immunostimulatory property
Bacterial capsule
Transposon mutagenesis

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7
Q

What is the most common form of the disease caused by Francisella?

A

Ulceroglandular tularemia

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8
Q

What are the symptoms for ulceroglandular tularemia?

A
  • skin ulcer
  • swollen and painful lymph glands
  • fever
  • chills
  • headache
  • exhaustion
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9
Q

What are the symptoms for glandular tularemia?

A

same as ulcerolandular except no skin ulcers

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10
Q

What are the symptoms for oculoglandular tularemia?

A

eye pain, eye redness, eye swelling and discharge, an ulcer on the inside of the eyelid

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11
Q

What are the symptoms for oropharyngeal tularemia?

A

fever, sore throat, vomiting, diarrhea

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12
Q

What are the symptoms for pneumonic tularemia?

A

cough, chest pain, difficulty breathing,

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13
Q

What are the symptoms for typhoidal tularemia?

A

high fever, extreme exhaustion, vomiting and diarrhea, enlarged spleen/liver, pneumonia

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14
Q

What are the ways that tularemia can be transmitted?

A
  1. insect bites- ticks and deerflies
  2. exposure to sick or dead animals
  3. Airborne bacteria - cause pneuominc tularemia
  4. contaminated food or water - causes digestive problems (oropharyngeal tularemia)
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15
Q

How does one Dx tularemia?

A

blood culture, blood test, CXR, PCR from ulcer sample

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16
Q

What antibiotics can be used to treat tularemia?

A

streptomycin, gentamicin, tetracycline

  • tetracycline and chloramphenicol have a high relapse rate and aren’t a first line- treatment
17
Q

What does one find on a CXR for tularemia?

A

patchy infiltrates