Signs and Symptoms

  • Fever, Chills, Headaches
  • Muscular Pain
  • Fatigue
  • Non-Productive Cough
This bacterial disease has a variety of clinical manifestations related to the route of introduction and the virulence of the disease agent. Most often it presents itself as an ulcer at the site of introduction of the organism, together with swelling of the regional lymph nodes. There may be no apparent primary ulcer, but only one or more enlarged and painful lymph nodes. Ingestion of organisms in contaminated food or water may produce painful pharyngitis, abdominal pain, diarrhea, and vomiting. Inhalation of infectious material may be followed by pneumonic involvement with a 30 to 60 percent case-fatality rate if untreated. Type A has a 5 to 15 percent untreated case-fatality rate, and type B produces few fatalities even without treatment.
Ulceroglandular tularemia presents with a local ulcer and regional lymphadenopathy, fever, chills, headache, and malaise. Typhoidal tularemia presents with fever, headache, malaise, prostration, and often substernal discomfort and a non-productive cough.
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