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Tularemia

Saira Ajmal, MD and Yara Shams, DO Reviewed 06/2022
 


BASICS

Zoonotic infection caused by the aerobic gram-negative coccobacillus Francisellatularensis  

DESCRIPTION

  • Routes of Transmission

    • Arthropod vectors: ticks, deer flies, horse flies, mosquitos

    • Mammalia...

DIAGNOSIS

HISTORY

  • Explore leisure activities and recent travel history. Evaluate exposure history of potential contact with known vectors, resservoirs (e.g. game animals, free-roaming pets, wild rodent...

TREATMENT

Pediatric Considerations

Doxycyline is not recommended. Use aminoglycosides and quinolones with caution. (7)

 
Pregnancy Considerations

Use aminoglycosides and quinolones with caution.

 

GENERAL MEASURES

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Serology should be repeated 2-4 weeks after initial presentation to confirm the diagnosis

Patient Monitoring

  • Monitor for signs of ototoxicity if if long-term aminog...

REFERENCES

1
Ellis, Jill, et al. 2002. "Tularemia." Clinical Microbiology Reviews, 15 (4): 631-646
2
World Health Organization. WHO Guidelines on Tularemia. Epidemic and Pandemic Alert and Response. 2007...

ADDITIONAL READING

  • Centers for Disease Control and Prevention. Tularemia. http://www.cdc.gov/tularemia . Accessed August 22, 2021

  • Friend M. 2006, Tularemia: Re...

CODES

ICD10

  • A21.9 Tularemia, unspecified

  • A21.0 Ulceroglandular tularemia

  • A21.1 Oculoglandular tularemia

  • A21.8 Other forms of tularemia

  • A21.3 Gastrointestinal tularemia

  • A21.2 Pulmonary tularemia

  • A21.7 General...

CLINICAL PEARLS

  • A high index of suspicion is required to diagnose tularemia.

  • If bioterrorism is suspected, contact authorities and coordinate rapid diagnostic testing through the Laboratory Response Ne...

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