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Tularemia - Symptom

Alternative Names

Deerfly fever; Rabbit fever; Pahvant Valley plague; Ohara disease; Yatobyo (Japan); Lemming fever

Symptoms:

Chills
Enlarged lymph nodes of the groin or armpits
Fever
Headache
Joint stiffness
Muscle pains
Possible conjunctivitis
Red spot on the skin, enlarging to an ulcer
Shortness of breath
Sweating
Weight loss

Signs and tests:

Serology for tularemia
PCR (polymerase chain reaction) test of a sample from an ulcer
Blood culture for tularemia
Chest x-ray

This disease may also alter the results of febrile/cold agglutinins.

Deer ticks

Ticks

Tick imbedded in the skin

Antibodies

Reviewed last on: 1/29/2007
D. Scott Smith, M.D., MSc, DTM&H, Chief of Infectious Disease & Geographic Medicine, Kaiser Redwood City, CA & Adjunct Assistant Professor, Stanford University. Review provided by VeriMed Healthcare Network.

References

Eliasson H, Broman T, Forsman M, Back E. Tularemia: current epidemiology and disease management. Infect Dis Clin North Am. 2006. Jun;20(2):289-311, ix.

Hassoun A, Spera R, Dunkel J. Tularemia and Once-Daily Gentamicin. Antimicrobial Agents and Chemotherapy 2006; 50(2),824.

Cronquist SD. Tularemia: the disease and the weapon. Dermatol Clin. 2004; 22(3): 313-20, vi-vii.

Long SS, Pickering LK, Prober CG. Principles and Practice of Pediatric Infectious Diseases. 2nd ed. New York, NY: Elsevier; 2003:917.

Cohen J, Powderly WG. Infectious Diseases. 2nd ed. New York, NY: Elsevier; 2004:1649-1653.

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