F. Tularensis

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Questions and Answers

Which subspecies of Francisella tularensis is the most virulent?

  • F. tularensis subspecies holarctica (Type B)
  • F. tularensis subspecies tularensis (Type A) (correct)
  • F. tularensis subspecies mediasiatica
  • F. tularensis subspecies novicida

Which of the following best describes the host range of Francisella tularensis?

  • Limited to wild rodents only
  • Infects mammals but not birds or reptiles
  • Affects a wide range of wild and domestic mammals, birds, fish, reptiles, and amphibians (correct)
  • Only infects humans and livestock

What are the primary reservoirs of Francisella tularensis?

  • Bats and primates
  • Rodents and lagomorphs (correct)
  • Domestic dogs and cats
  • Cattle and deer

Which of the following is NOT a main route of transmission for Francisella tularensis?

<p>Sexual transmission (C)</p> Signup and view all the answers

How can humans or animals become infected with Francisella tularensis?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following arthropods can act as vectors for Francisella tularensis?

<p>Ticks and biting insects (A)</p> Signup and view all the answers

Why is Francisella tularensis considered a significant public health concern?

<p>It has a low infectious dose and can spread through multiple routes (A)</p> Signup and view all the answers

Which of the following best describes the morphology of Francisella tularensis?

<p>Small, pleomorphic, Gram-negative coccobacilli (D)</p> Signup and view all the answers

What type of metabolism does Francisella tularensis exhibit?

<p>Strictly aerobic (C)</p> Signup and view all the answers

How does Francisella tularensis primarily persist in the environment?

<p>By being highly resistant and surviving for months in water, soil, and carcasses (C)</p> Signup and view all the answers

What is a key survival advantage of Francisella tularensis as a pathogen?

<p>Its ability to survive inside host macrophages (A)</p> Signup and view all the answers

Which of the following is true regarding Francisella tularensis?

<p>It is a facultative intracellular, non-motile, non-spore-forming, Gram-negative coccobacillus (C)</p> Signup and view all the answers

Francisella tularensis is mainly in the southern hemisphere

<p>False (B)</p> Signup and view all the answers

What is the disease name for francisella tularensis?

<p>Tularemia</p> Signup and view all the answers

Why is tularemia considered a significant public health concern?

<p>It is highly invasive with high morbidity and mortality (A)</p> Signup and view all the answers

What is the infectious dose of Francisella tularensis?

<p>Less than 10 bacteria (C)</p> Signup and view all the answers

What is the typical incubation period for tularemia?

<p>3–5 days (range: 1–21 days) (B)</p> Signup and view all the answers

Which of the following best describes the lesion pattern seen in tularemia?

<p>Miliary, white to off-white foci of necrosis in the liver, spleen, lung, and lymph nodes (B)</p> Signup and view all the answers

Which factor influences the clinical signs of tularemia in an infected animal or human?

<p>All of the above (D)</p> Signup and view all the answers

What are common systemic symptoms of tularemia?

<p>Fever, lymphadenopathy, and cutaneous ulcers (A)</p> Signup and view all the answers

What are the four forms of Francisella tularensis?

<p>Ulcerglandular , glandular, oropharyngeal and pneumonic form</p> Signup and view all the answers

Which is the most common clinical form of tularemia?

<p>Ulceroglandular form (C)</p> Signup and view all the answers

Which of the following best describes the ulceroglandular form of tularemia?

<p>It involves painful maculopapular lesions that develop into ulcers with regional lymphadenopathy (A)</p> Signup and view all the answers

How does the glandular form of tularemia differ from the ulceroglandular form?

<p>It involves lymphadenopathy without an ulcer (B)</p> Signup and view all the answers

The oropharyngeal form of tularemia primarily occurs after:

<p>Ingestion of contaminated food or water (D)</p> Signup and view all the answers

What are the key symptoms of the oropharyngeal form of tularemia?

<p>Ulcerative-exudative stomatitis, pharyngitis, and excessive neck lymphadenitis (A)</p> Signup and view all the answers

Which route of infection leads to the pneumonic form of tularemia?

<p>Inhalation of contaminated aerosols (B)</p> Signup and view all the answers

What are the primary clinical signs of pneumonic tularemia?

<p>Pneumonia, cough, chest pain, increased respiratory rate</p> Signup and view all the answers

Tularemia may affect sheep, horses and adult pigs

<p>False (B)</p> Signup and view all the answers

Which animal group is considered resistant to Tularemia?

<p>adult pigs and cattle</p> Signup and view all the answers

The ____ is essential for serum resistance in Francesella

<p>Capsule</p> Signup and view all the answers

Which leukocyte doe F. Tularensis reside in?

<p>Macrophages (D)</p> Signup and view all the answers

How does phase variation of Francisella tularensis lipopolysaccharides (LPS) affect the immune response?

<p>It affects their antigenicity</p> Signup and view all the answers

Unlike classical endotoxins, the LPS of Francisella tularensis:

<p>Lacks the typical endotoxin properties (C)</p> Signup and view all the answers

What biosafety level (BSL) laboratory is required to handle Francisella tularensis samples?

<p>BSL-3</p> Signup and view all the answers

Which of the following diagnostic methods can be used to detect Francisella tularensis?

<p>All of the above (D)</p> Signup and view all the answers

What characteristic makes Francisella tularensis difficult to culture?

<p>It is a fastidious organism with specific growth requirements (B)</p> Signup and view all the answers

There is no vaccine available for F. Tularensis, so prevention relies on other control measures

<p>True (A)</p> Signup and view all the answers

What are the prevention and control measures for F. Tularensis ?

<p>Ectoparasitic control, elimination from contaminated waters, wildlife exposures</p> Signup and view all the answers

Flashcards

Most Virulent F. tularensis Subspecies

F. tularensis subspecies tularensis (Type A)

Host Range of F. tularensis

Affects a wide range of wild and domestic mammals, birds, fish, reptiles, and amphibians.

Primary Reservoirs of F. tularensis

Rodents and lagomorphs (rabbits, hares, and pikas)

Morphology of F. tularensis

Small, pleomorphic, Gram-negative coccobacilli

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Metabolism of F. tularensis

Strictly aerobic

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F. tularensis Persistence

Surviving for months in water, soil, and carcasses

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F. tularensis Survival Advantage

Ability to survive inside host macrophages

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F. tularensis Characteristics

Facultative intracellular, non-motile, non-spore-forming, Gram-negative coccobacillus

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Disease Name (F. tularensis)

Tularemia

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Public Health Concern of Tularemia

It is highly invasive with high morbidity and mortality

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Infectious Dose of F. tularensis

Less than 10 bacteria

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Incubation Period for Tularemia

3–5 days (range: 1–21 days)

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Lesion Pattern in Tularemia

Miliary, white to off-white foci of necrosis in the liver, spleen, lung, and lymph nodes

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Systemic Symptoms of Tularemia

Fever, lymphadenopathy, and cutaneous ulcers

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Four Forms of Tularemia

Ulcerglandular, glandular, oropharyngeal, and pneumonic form

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Most Common Tularemia Form

Ulceroglandular form

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Ulceroglandular Tularemia

Painful maculopapular lesions that develop into ulcers with regional lymphadenopathy

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Glandular Tularemia

Lymphadenopathy without an ulcer

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Oropharyngeal Tularemia

Ingestion of contaminated food or water

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Oropharyngeal Tularemia Symptoms

Ulcerative-exudative stomatitis, pharyngitis, and excessive neck lymphadenitis

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Pneumonic Tularemia

Inhalation of contaminated aerosols

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Pneumonic Tularemia Signs

Pneumonia, cough, chest pain, increased respiratory rate

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Animals Resistant to Tularemia

Adult pigs and cattle

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Serum Resistance Factor

Capsule

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Cell of F. Tularensis Residence

Macrophages

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LPS Phase Variation on Immune Response

It affects their antigenicity

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Unique Property of F. tularensis LPS

Lacks the typical endotoxin properties

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Biosafety Level for F. tularensis

BSL-3

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Culture Difficulty: F. tularensis

It is a fastidious organism with specific growth requirements

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Prevention for F. Tularensis

Ectoparasitic control, elimination from contaminated waters, wildlife exposures

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