Microbiology Question:
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A 42 year old woman who was complaining of shaking chills and fever went to the Salt Lake City Homeless clinic. She had enlarged lymph nodes in the right axilla. Upstream from the enlarged nodes was an ulcer on the top of the patients right hand. When carefully questioned, the patient said she remembered being bitten there by an insect resembling a horsefly, but with yellow stripes on its abdomen; Its what we used to call a deerfly, she added laconically. The patient denied any contact with rats or fleas. The patients disease was most likely to be:?

Answer:

* A. Brucellosis
* B. Ulcero-glandular tularemia
* C. Pneumonic plague
* D. Relapsing fever

Correct Answer: B

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It is extremely difficult to eradicate staphylococcal infection in the presence of a foreign body. Thus, infected artificial joints and infected intravenous lines often must be removed in conjunction with optimal intravenous anti-staphylococcal therapy with oxacillin or nafcillin (sometimes in combination with rifampin) in order to eradicate such staphylococcal infections (and these attempts are not always successful). Staphylococcal infection of bone may persist for many years despite what should be optimal antimicrobial therapy. The most likely reason for this tenacity of staphylococcal osteomyelitis is:?Which of the following diseases are not transmitted by ticks?