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A 65-Year-Old Man Comes to the Emergency Department with a Sore

question 195

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A 65-year-old man comes to the emergency department with a sore on his right hand.  The lesion began as a small, painless papule 3 days ago and rapidly enlarged and ulcerated.  The patient has had no injury or insect bite, has no prior medical conditions, and takes no medications.  He is in the wool business and recently returned from a tour of wool-processing plants in several Asian countries.  Physical examination shows a necrotic ulcer with a black eschar on the dorsum of the right hand.  There is extensive edema of surrounding tissues.  The toxin causing edema around this patient's ulcer has a mechanism of action most similar to a different toxin produced by which of the following bacteria?

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Definitions:

Conditional

A statement or proposition that asserts that one thing is true if another thing is true, typically formulated as "If P, then Q."

Negation

The contradiction or denial of something, or the opposite of a given statement or proposition.

Conjunction

In grammar, it refers to a part of speech that connects words, sentences, phrases, or clauses. In logic, it's a compound statement that is true if both of its component statements are true.

Truth Table

A diagram displaying the truth or falsity of a compound proposition as a function of the truth or falsity of its atomic statements and connectives.

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