Tauletemia

Question 1

Clinical types

Answer 1

Glandular
Ulcerinoglandular
Occuloglandular
Typhoid
Tonsilopharyngeal
Pneumonic

Question 2

Causative organism

Answer 2

Francella tularenesi

Question 3

Tick born diseases

Answer 3

Table
Taularemia
Anaplasmosis
Babaesiosis
Lyme
Echreliosis
Rocky mountain fever

Question 4

A 22 years old patient complaining of unwell and headache. He also noticed a large swollen black lesion on his thigh that was painful. Thinking he had injured himself and that it was now infected, he went to his primary health-care provider who gave him co-amoxiclav. Over the next few days, the lesion did not resolve, and he continued to feel unwell with headache and myalgia. The doctor identified the lesion on his thigh as a tick bite. He also noticed that the patient had regional lymphadenopathy.

Answer 4

What is the diagnosis?
Taularemia (ulcerinoglandular)
The most common type
Lns +ulcer

Question 5

Treatment

Answer 5

1-First-line treatment:
*Streptomycin: 1 g intramuscularly twice daily for 7–10 days
(Gold standard but less commonly available)

*Alternative first-line:
Gentamicin: 5 mg/kg/day IV or IM divided every 8 hours for 7–10 days
(More available and commonly used)
2-Oral options for mild to moderate cases:

*Doxycycline: 100 mg orally twice daily for 14–21 days

*Ciprofloxacin: 500–750 mg orally twice daily for 10–14 days

Question 6

ليه مش lyme

Answer 6

Ulcer + lns
+ ما استجابش لل amox clav