​A 38-year-old female archaeologist presents to a local clinic with


Q: ​A 38-year-old female archaeologist presents to a local clinic with high fever, malaise, intense headache, severe myalgia, and painful swelling in the inguinal region. She had recently returned from a trip to Arizona. Her vital signs indicate tachycardia. A physical exam shows no meningeal signs,
but she does appear somewhat drowsy-looking. A pustule is apparent at the site of an insect bite on her right upper arm. Her inguinal lymph nodes are enlarged, fluctuant, and tender. An aspirate is taken from the lymph nodes and reveal gram-negative bacilli with a “safety pin” appearance.

1. What is the causative microorganism?

2. What is the name of this condition?

3. How is this illness acquired?

4. What is the treatment for this infection?

5. What is the mortality rate for this type of infection?


A:   This question is currently in queue and will be answered shortly by one of our doctors. In the meantime you may browse our library of answered questions by clicking here.

Related Q&A

Q: My wife has been having lower back problems over the last few years. She is 39, was working as an OR Nurse. No longer...

Q: I have Impetigo - and need cream and antibiotics asap. can you help

Q: I had unprotected oral and protected vaginal sex with a sex worker. I had unprotected vaginal sex with my wife ( who...

Q: I have had continuous lower back pain for the past few months that has not been resolved. I went to a chiropractor a...

Q: I am awaiting an MRI due to what my Doctor thinks could be a trapped nerve. I've had pins and needles, pain and weakn...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon