Tularemia

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Symptoms

By Mayo Clinic staff

Most people exposed to tularemia become sick within two to 10 days. Several types of tularemia exist, each with its own set of symptoms.

Ulceroglandular tularemia
This is by far the most common form of the disease. Signs and symptoms include:

  • A skin ulcer that forms at the site of infection — usually an insect or animal bite
  • Swollen and painful lymph glands
  • Fever
  • Chills
  • Headache
  • Exhaustion

Glandular tularemia
People with glandular tularemia have:

  • The same signs and symptoms of ulceroglandular tularemia, except no skin ulcers

Oculoglandular tularemia
This form affects the eyes, and may cause:

  • Eye pain
  • Eye redness
  • Eye swelling and discharge
  • An ulcer on the inside of the eyelid

Oropharyngeal tularemia
Affecting the digestive tract, oropharyngeal tularemia is marked by:

  • Vomiting
  • Diarrhea

Pneumonic tularemia
This causes signs and symptoms typical of pneumonia:

  • Cough
  • Chest pain
  • Difficulty breathing

Other forms of tularemia also can spread to the lungs.

Typhoidal tularemia
This rare and serious form of the disease usually causes:

  • Fever
  • Extreme exhaustion
  • Weight loss

It can also affect a number of body organs, including the lungs.

DS00714

April 19, 2008

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