Book contents
- Frontmatter
- Contents
- Preface
- Contributors
- Part I Clinical Syndromes – General
- Part II Clinical Syndromes – Head and Neck
- Part III Clinical Syndromes – Eye
- Part IV Clinical Syndromes – Skin and Lymph Nodes
- Part V Clinical Syndromes – Respiratory Tract
- Part VI Clinical Syndromes – Heart and Blood Vessels
- Part VII Clinical Syndromes – Gastrointestinal Tract, Liver, and Abdomen
- Part VIII Clinical Syndromes – Genitourinary Tract
- Part IX Clinical Syndromes – Musculoskeletal System
- Part X Clinical Syndromes – Neurologic System
- Part XI The Susceptible Host
- Part XII HIV
- Part XIII Nosocomial Infection
- Part XIV Infections Related to Surgery and Trauma
- Part XV Prevention of Infection
- Part XVI Travel and Recreation
- Part XVII Bioterrorism
- Part XVIII Specific Organisms – Bacteria
- 121 Actinomycosis
- 122 Anaerobic Infections
- 123 Anthrax and Other Bacillus Species
- 124 Bartonellosis (Carrión's Disease)
- 125 Cat Scratch Disease and Other Bartonella Infections
- 126 Bordetella
- 127 Moraxella (Branhamella) Catarrhalis
- 128 Brucellosis
- 129 Campylobacter
- 130 Clostridia
- 131 Corynebacteria
- 132 Enterobacteriaceae
- 133 Enterococcus
- 134 Erysipelothrix
- 135 HACEK
- 136 Helicobacter Pylori
- 137 Gonococcus: Neisseria Gonorrhoeae
- 138 Haemophilus
- 139 Legionellosis
- 140 Leprosy
- 141 Meningococcus and Miscellaneous Neisseriae
- 142 Listeria
- 143 Nocardia
- 144 Pasteurella Multocida
- 145 Pneumococcus
- 146 Pseudomonas, Stenotrophomonas, and Burkholderia
- 147 Rat-Bite Fevers
- 148 Salmonella
- 149 Staphylococcus
- 150 Streptococcus Groups A, B, C, D, and G
- 151 Viridans Streptococci
- 152 Poststreptococcal Immunologic Complications
- 153 Shigella
- 154 Tularemia
- 155 Tuberculosis
- 156 Nontuberculous Mycobacteria
- 157 Vibrios
- 158 Yersinia
- 159 Miscellaneous Gram-Positive Organisms
- 160 Miscellaneous Gram-Negative Organisms
- Part XIX Specific Organisms – Spirochetes
- Part XX Specific Organisms – Mycoplasma and Chlamydia
- Part XXI Specific Organisms – Rickettsia, Ehrlichia, and Anaplasma
- Part XXII Specific Organisms – Fungi
- Part XXIII Specific Organisms – Viruses
- Part XXIV Specific Organisms – Parasites
- Part XXV Antimicrobial Therapy – General Considerations
- Index
154 - Tularemia
from Part XVIII - Specific Organisms – Bacteria
Published online by Cambridge University Press: 05 March 2013
- Frontmatter
- Contents
- Preface
- Contributors
- Part I Clinical Syndromes – General
- Part II Clinical Syndromes – Head and Neck
- Part III Clinical Syndromes – Eye
- Part IV Clinical Syndromes – Skin and Lymph Nodes
- Part V Clinical Syndromes – Respiratory Tract
- Part VI Clinical Syndromes – Heart and Blood Vessels
- Part VII Clinical Syndromes – Gastrointestinal Tract, Liver, and Abdomen
- Part VIII Clinical Syndromes – Genitourinary Tract
- Part IX Clinical Syndromes – Musculoskeletal System
- Part X Clinical Syndromes – Neurologic System
- Part XI The Susceptible Host
- Part XII HIV
- Part XIII Nosocomial Infection
- Part XIV Infections Related to Surgery and Trauma
- Part XV Prevention of Infection
- Part XVI Travel and Recreation
- Part XVII Bioterrorism
- Part XVIII Specific Organisms – Bacteria
- 121 Actinomycosis
- 122 Anaerobic Infections
- 123 Anthrax and Other Bacillus Species
- 124 Bartonellosis (Carrión's Disease)
- 125 Cat Scratch Disease and Other Bartonella Infections
- 126 Bordetella
- 127 Moraxella (Branhamella) Catarrhalis
- 128 Brucellosis
- 129 Campylobacter
- 130 Clostridia
- 131 Corynebacteria
- 132 Enterobacteriaceae
- 133 Enterococcus
- 134 Erysipelothrix
- 135 HACEK
- 136 Helicobacter Pylori
- 137 Gonococcus: Neisseria Gonorrhoeae
- 138 Haemophilus
- 139 Legionellosis
- 140 Leprosy
- 141 Meningococcus and Miscellaneous Neisseriae
- 142 Listeria
- 143 Nocardia
- 144 Pasteurella Multocida
- 145 Pneumococcus
- 146 Pseudomonas, Stenotrophomonas, and Burkholderia
- 147 Rat-Bite Fevers
- 148 Salmonella
- 149 Staphylococcus
- 150 Streptococcus Groups A, B, C, D, and G
- 151 Viridans Streptococci
- 152 Poststreptococcal Immunologic Complications
- 153 Shigella
- 154 Tularemia
- 155 Tuberculosis
- 156 Nontuberculous Mycobacteria
- 157 Vibrios
- 158 Yersinia
- 159 Miscellaneous Gram-Positive Organisms
- 160 Miscellaneous Gram-Negative Organisms
- Part XIX Specific Organisms – Spirochetes
- Part XX Specific Organisms – Mycoplasma and Chlamydia
- Part XXI Specific Organisms – Rickettsia, Ehrlichia, and Anaplasma
- Part XXII Specific Organisms – Fungi
- Part XXIII Specific Organisms – Viruses
- Part XXIV Specific Organisms – Parasites
- Part XXV Antimicrobial Therapy – General Considerations
- Index
Summary
Francisella tularensis is an unusual, gramnegative, rod-shaped bacteria that causes the disease tularemia. Francisella tularensis is unusual because of its virulence, the geographic distribution of the few known varieties, and the organism's unique preference for residing inside macrophages and neutrophils (it appears to prevent the oxidative burst and can escape the phagosome to persist in the neutrophil). Tularemia is acquired in most patients through contact with infected tissues of cottontail or jackrabbits or from bites of dogs, cats, snakes, and other animals that have become contaminated from biting or eating infected rabbits. Human infections can be induced by ticks, mosquitoes, and deer flies that have fed on an infected animal.
Tularemia has an American heritage. McCoy studied a plaguelike disease in ground squirrels in 1911 in Tulare County, California. Dr. Edward Francis subsequently selected the name tularemia (1921) for the disease because his investigations demonstrated that a bacteremia must occur and because of the first demonstration of infected animals in Tulare County. The organism was subsequently named Francisella tularensis to honor the extensive studies of Dr. Francis. Further studies have identified infection in more than 100 wild and domestic animals and the ectoparasites and biting insects that feed on them.
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- Information
- Clinical Infectious Disease , pp. 1073 - 1076Publisher: Cambridge University PressPrint publication year: 2008