Tularemia history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Symptoms associated with tularemia often include non-specific flu like symptoms. As the disease progresses tularemia will differentiate into five more specific variations. Symptoms and clinical manifestations will differentiate according to the type of tularemia infection.

History and Symptoms

Common symptoms of tularemia include:

Sudden fever
Chills
Headaches
Diarrhea
Muscle aches
Joint pain
Dry cough
Progressive weakness
Other symptoms of tularemia depend on how a person was exposed to the tularemia bacteria. These symptoms can include ulcers on the skin or mouth, swollen and painful lymph glands, swollen and painful eyes, and a sore throat.

Depending on the site of infection and mode of transmission, tularemia has six characteristic clinical syndromes:

ulceroglandular
glandular
oropharyngeal
pneumonic
oculoglandular
typhoidal.^[1] Inflammation spreads to the lymph nodes, which enlarge and may suppurate (mimicking bubonic plague). Lymph node involvement is accompanied by a high fever. Death may result.[2]

References

↑ Plourde PJ, Embree J, Friesen F, Lindsay G, Williams T (1992). “Glandular tularemia with typhoidal features in a Manitoba child”. Can Med Assoc J. 146: 1953&ndash, 5.

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[1] Plourde PJ, Embree J, Friesen F, Lindsay G, Williams T (1992). “Glandular tularemia with typhoidal features in a Manitoba child”. Can Med Assoc J. 146: 1953&ndash, 5.

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