SPADA

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