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.

• 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]