Animals Involved
Dogs, cats, horses, marine mammals, other mammals
Known Distributions
Distribution in environment uncertain; clinical cases focal; locally acquired cases reported in parts of North America, Africa, Middle East, India
Probable Means of Spreading
Environmental exposure, organism is most common in moist soil; infection common in people and animals; also reported rarely by animal exposure
Clinical Manifestations in People
Acute to chronic pulmonary disease; skin or bone lesions; meningitis, other syndromes, disseminated disease possible; course mild to severe, some cases fatal