New presentation shows real case from infection diseases hospital and allow you to challenge your knowledge in medicine. After presentation of each case you will see a slide with a question about diagnosis. Try to answer and if you would have problems go to next slide where you will find a hint. Goodluck! If you would interested in new cases please contact Dr Andrey Dyachkov cd4@inbox.ru

1. Clinical cases from infection diseases hospital Part 2 Pavlov State Medical University, St-Petersburg, Russia Dr. Andrey Dyachkov E-mail: cd4@inbox.ru

2. Botkin's hospital was found in 1882

5. Clinical cases - Whatch it!

13. Case 4: Tularemia

14. Case 4: Tularemia Tularaemia is a bacterial zoonotic disease of the northern hemisphere. The bacterium ( Francisella tularensis ) is highly virulent for humans and a range of animals such as rodents, hares and rabbits. It was described by american doctor JW McCow in a basin of Tulate lake in 1912. F. tularensis is transmitted to humans: (i) by arthropod bites, (ii) by direct contact with infected animals, infectious animal tissues or fluids, (iii) by ingestion of contaminated water or food, (iv) by inhalation of infective aerosols. There is no human-to-human transmission.

15. Case 4: Tularemia T ularemia has 5 clinical forms : (i) Ulceroglandular, (ii) Glandular (our case), (iii) Oculoglandular, (iv) Oropharyngeal (v) Pneumonic

17. More cases - http://www.slideshare.net/drandreyst-p/clinical-cases-from-infection-diseases-hospital