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francisella, franciscella, Treponema Pallidum, Brucella, Borrelia…

- - - - ulceroglandular ularemia
        
        ulcer at the site of ulnercation
      - pulmonary
      - typhoidal tularemia
- - - - painless
        
        different from hemophilus
        
        painless borders
      - site is where the shanker develops
      - raised borders
    - - "disseminated"
        
        rash on palms and soles
        
        the most infectious stage
      - warts
    - - type IV hypersensitivity
        
        IL-1, IL-6, TNF-a
        
        granulomma formation
        
        vasa vasorum
        
        aneurysmal dilation
        
        aortic regurgitation
        
        aneurysmal dialtion
- - - - bulls-eye target lesion
      - disseminated stage 2
        
        facial nerve palsy, polyneuropathy
        
        cardiac neuropahy
      - stage 3 dissemina
        
        aseptic menigitis
        
        chronic arthritis
- - - - itchy
        
        erythema migrans
- - - - not as contaeous
        
        painless ulcesrs
    - - most contageou
      - spirochete in the granuloma
    - - type IV hypersensitivity
- - - - light does not induce a change in a pupil
- - - - light dissociation
- - - - active
- - - - DCML
      - light dissociation
- - - - hutchingson teeth and bowed shins