Contents
Tularemia, also known as rabbit fever, is an infectious disease caused by the bacterium Francisella tularensis.
Aetiology
- Typically spread by ticks, deer flies, contact with infected animals
Clinical features
- Skin lesions (6 characteristic clinical variants):
- Ulceroglandular (M/C, 75%)
- Glandular
- Oropharyngeal
- Pneumonic
- Oculoglandular
- Typhoidal
- Fever, lethargy, loss of appetite, lymphadenopathy (may suppurate, mimicking bubonic plague), signs of sepsis, and possibly death

Diagnosis
Investigations
Bacterial culture
- Buffered charcoal yeast extract agar (special media)

Management
Antibiotics:
- Streptomycin or gentamicin