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Francisella tularensis
From WikEM
Contents
Background
- Aerobic, gram-negative bacillus
Clinical Features [1]
- Ulceroglandular: MC form
- Ulcer forms at the site of bacteria inoculation plus lymphadenopathy
- Glandular
- Lymphadenopathy
- Oculoglandular
- Occurs when bacteria inoculates the eye
- Oropharyngeal
- Pharyngitis, tonsilitis
- Pneumonic
- Most serious
- Cough, dyspnea, chest pain
- Typhoidal
Antibiotic Sensitivities[2]
Key
- S susceptible/sensitive (usually)
- I intermediate (variably susceptible/resistant)
- R resistant (or not effective clinically)
- S+ synergistic with cell wall antibiotics
- U sensitive for UTI only (non systemic infection)
- X1 no data
- X2 active in vitro, but not used clinically
- X3 active in vitro, but not clinically effective for Group A strep pharyngitis or infections due to E. faecalis
- X4 active in vitro, but not clinically effective for strep pneumonia
Table Overview
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