Communicable Diseases · NEET PG Preparation Community Medicine (PSM)

A 24-year-old medical student develops a sudden onset of painless ulcer on his index finger following accidental needle stick injury during a surgica…

Practice question from Communicable Diseases (NEET PG Preparation Community Medicine (PSM)), with the correct answer and a step-by-step solution.

hard · MCQ · Q-2B509F

A 24-year-old medical student develops a sudden onset of painless ulcer on his index finger following accidental needle stick injury during a surgical procedure involving a patient from an endemic area. Two weeks later, he presents with painful regional epitrochlear and axillary lymphadenopathy accompanied by fever and malaise. Aspirin or standard wound antiseptics fail to heal the ulcer. Which of the following is the drug of choice for treating this zoonotic infection?

  1. A.Penicillin G
  2. B.StreptomycinCorrect answer
  3. C.Ciprofloxacin
  4. D.Acyclovir

Solution

The clinical vignette describes ulceroglandular tularemia, caused by Francisella tularensis, a potential laboratory-acquired infection presenting as an inoculation site ulcer with regional lymphadenopathy. The drug of choice for tularemia is Streptomycin (or Gentamicin).

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