TY  - CHAP
M1  - Book, Section
TI  - Tularemia: Diseases Transmitted Primarily from Animals to Humans (Zoonoses)
A1  - Mead, Paul S.
A2  - Boulton, Matthew L.
A2  - Wallace, Robert B.
PY  - 2022
T2  - Maxcy-Rosenau-Last Public Health & Preventive Medicine, 16e
AB  - Tularemia  is  an  uncommon  but  potentially  serious  bacterial  zoonosis  caused  by  Francisella  tularensis.  Transmission  to  humans  occurs  through  arthropod  bites,  ingestion  of  contaminated  food  or  water,  inhalation  of  contaminated  aerosols,  or  handling  of  infected  animal  tissues.  Clinical  manifestations  are  variable  and  depend  on  the  route  of  inoculation,  the  dose,  and  the  virulence  of  the  organism.  Most  commonly,  the  disease  presents  in  humans  as  an  indolent  ulcer  at  the  site  of  cutaneous  inoculation  accompanied  by  regional  lymphadenitis  (ulceroglandular  form).  Other  forms  include  glandular,  oculoglandular,  oropharyngeal,  gastrointestinal,  septic,  and  pneumonic  tularemia.  Although  uncommon,  tularemia  occurs  widely  in  temperate  and  subarctic  regions  of  North  America  and  Eurasia.  Currently  in  the  United  States,  fewer  than  200  cases  are  reported  annually.1F.  tularensis  is  classified  as  a  Tier  1  Select  Agent  and  has  been  evaluated  as  a  potential  weapon  by  several  countries.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1182667469
ER  -