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Routes of Infection

Inhalation: aerosolized in water or soil 

Inoculation:  skin wound contact with soil or water

Ingestion:  water

Person‐to‐person:  rare

Animal‐to‐human:  not observed

http://www.ndm.ox.ac.uk/principal-investigators/researcher/david-dance http://www.vhfcn.org/unitlinks.html

Symptoms

“The Great Mimicker”

Acute pulmonary infection

most common presentation

Localized infection

Disseminated infection

Fulminant septicemia

Neurological (less common)

CHEST 2011; 140(1):239-242