Tularemia

(Francisella tularensis)

 
Species

Bacterial

Transmission time

3 - 5
Days

 
 

Details

Symptoms

  • Symptoms can range from mild to life threatening
  • Glandular infections occur when the lymph nodes closest to the tick bite are swollen and a high fever is present.
  • Ulcerglandular infections occur when the lymph nodes closest to the tick bite are swollen, a high fever is present, and there is a skin ulcer at the site of tick attachment.

    Diagnosis and Treatment

  • Skin biopsy or secretion can be visualized under a microscope using a gram stain or fluorescently labelled antibodies to identify the presence of Francisella tularensis.

 

CDC Treatment Recommendation

  • Adults: Streptomycin, 1g IM twice daily
  • Gentamicin, 5 mg/kg IM or IV once daily†
  • Children: Streptomycin, 15 mg/kg IM twice daily (should not exceed 2 gm/d)
  • Gentamicin, 2.5 mg/kg IM or IV 3 times daily†
 

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