Comparative analysis of PCR versus culture for diagnosis of ulceroglandular
tularemia is the most common form of disease in humans, accounting for [approximately equal to] 75% of reported cases, and is characterized by fever, ulceration at the site of infection, and enlargement of local lymph nodes (5).
Depending on the route of infection, the disease may manifest as ulceroglandular
, glandular, oculoglandular, oropharyngeal, typhoidal, or pneumonic tularemia (4).
The clinical presentations of tularemia have been classically divided into six classic forms: ulceroglandular
, glandular, oculoglandular, oropharyngeal, respiratory, and typhoidal tularemia [2-4].
= bite-site ulcer + regional lymphadenopathy.
Brown recluse spider bites, ecthyma, accidental vaccine, ulceroglandular
tularemia, and necrotic herpes simplex should be considered in the differential diagnosis of CA.
We know melioidosis from the rice paddies of Vietnam as a plaguelike ulceroglandular
Occasionally tularemia in humans is divided into 2 categories: the external form which includes the ulceroglandular
form (in which local or regional signs predominate) and the internal form which includes the more lethal typhoidal form (in which systemic signs dominate the clinical picture).
2] Clinical syndrome Relative incidence Ulceroglandular
tularemia 80% Glandular tularemia 15% Oropharyngeal tularemia <5% Oculoglandular tularemia 1% Typhoidal tularemia <1% Pneumonic tularemia <1%
Tularemia manifests itself in several forms in man: ulceroglandular
, septicemic (typhoidal), and pneumonic.
Tularemia, a severe epizootic disease caused by the gram-negative, intracellular coccobacillus Francisella tularensis (1,2), has 5 clinical forms: glandular/ ulceroglandular
, oculoglandular, pneumonic, typhoidal, and oropharyngeal (2).