Clinical students are receiving instruction on Francisella tularensis (tularemia). Which statements about tularemia demonstrate understanding by the students? (Select all that apply.)
a. "It begins with flulike symptoms."
b. "It can develop into pneumonia or pleuritis, or both."
c. "Tularemia can be treated with an antitoxin."
d. "The treatment of choice for tularemia is intravenous streptomycin."
e. "Tularemia is transmitted from person to person."
ANS: A, B
Individuals with symptoms of tularemia have acute, flulike symptoms that may develop into pneumonia and pleuritis.
Antitoxin is available only for botulism.
The treatment of choice for tularemia is intramuscular (IM) streptomycin, not IV streptomycin.
Tularemia cannot be transmitted from person to person. The infection is transmitted by a vector and is acquired through the skin, mucous membranes, gastrointestinal tract, or lungs.
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