Francisella species

Type: Bacteria
Name: Francisella species
Importance- to Body:
Cutaneous Infection
Distribution- in Body:
Skin; Typically ulceroglandular appearance but can appear with lymphadenopathy alone
Epidemiology: Small, gram-negative cocco-bacilli
Food Sources:
None Listed
Environmental/Geographic Sources:
associated with northern hemisphere, rabbits.
Diagonosis:
Francisella tularensis is difficult to grow in culture. Diagnosed often by clinical history and serology. Other Francisella strains grow on routine culture.
Treatment:
treptomycin, Most strains are susceptible to quinolones, gentamycin, tetracyclines, ceftriaxone, ceftazidime, cefepime, imipenem, and meropenem. Antibiotic duration usually 2 weeks.
Supplemental information:
Source: Cutaneous Manifestations Of Waterborne Infections by: Lucinda Elko, MD, RPh, Keith Rosenbach, MD, PhD*, and John Sinnott, MD