Microbiology Question:

Which of the following diseases are not transmitted by ticks?

Answer:

* A. Ulceroglandular tularemia
* B. Bubonic plague
* C. Relapsing fever
* D. Lyme disease

Correct Answer: B

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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:?

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