SkipdirectlytositecontentSkipdirectlytopageoptionsSkipdirectlytoA-ZlinkTularemiaSectionNavigationCDCHomeFacebookTwitterLinkedInSyndicateSigns&SymptomsMinusRelatedPagesAnulcercausedbyFrancisellatularensis.Thesignsandsymptomsoftularemiavarydependingonhowthebacteriaenterthebody.Illnessrangesfrommildtolife-threatening.Allformsareaccompaniedbyfever,whichcanbeashighas104°F.Mainformsofthisdiseasearelistedbelow:UlceroglandularThisisthemostcommonformoftularemiaandusuallyoccursfollowingatickordeerflybiteorafterhandingofaninfectedanimal.Askinulcerappearsatthesitewherethebacteriaenteredthebody.Theulcerisaccompaniedbyswellingofregionallymphglands,usuallyinthearmpitorgroin.GlandularSimilartoulceroglandulartularemiabutwithoutanulcer.Alsogenerallyacquiredthroughthebiteofaninfectedtickordeerflyorfromhandlingsickordeadanimals.OculoglandularThisformoccurswhenthebacteriaenterthroughtheeye.Thiscanoccurwhenapersonisbutcheringaninfectedanimalandtoucheshisorhereyes.Symptomsincludeirritationandinflammationoftheeyeandswellingoflymphglandsinfrontoftheear.OropharyngealThisformresultsfromeatingordrinkingcontaminatedfoodorwater.Patientswithorophyangealtularemiamayhavesorethroat,mouthulcers,tonsillitis,andswellingoflymphglandsintheneck.PneumonicThisisthemostseriousformoftularemia.Symptomsincludecough,chestpain,anddifficultybreathing.Thisformresultsfrombreathingdustsoraerosolscontainingtheorganism.Itcanalsooccurwhenotherformsoftularemia(e.g.ulceroglandular)areleftuntreatedandthebacteriaspreadthroughthebloodstreamtothelungs.TyphoidalThisformischaracterizedbyanycombinationofthegeneralsymptoms(withoutthelocalizingsymptomsofothersyndromes)Pagelastreviewed:December13,2018Contentsource:CentersforDiseaseControlandPrevention,NationalCenterforEmergingandZoonoticInfectiousDiseases(NCEZID),DivisionofVector-BorneDiseases(DVBD)homeTularemiaHomeTransmissionSigns&SymptomsDiagnosis&TreatmentPreventionStatisticsForCliniciansForPublicHealthOfficialsFrequentlyAskedQuestionsPublicationsManagingLaboratoryExposuresFace