All illnesses were classified as ulceroglandular
tularemia except the one in case-patient 3, which was classified as respiratory tularemia.
Depending on the mode of entry, the disease can manifest itself in various ways with ulceroglandular
disease accounting for 45-85% of all cases.
Comparative analysis of PCR versus culture for diagnosis of ulceroglandular
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.
The most common clinical presentations of tularemia were respiratory disease (pneumonic form, [n = 26]), skin lesions with lymphadenopathy (ulceroglandular
form, [n = 26]), and a general febrile illness without localizing signs (typhoidal form, [n = 25]).
"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).
The six forms of tularemia and their relative [incidence.sup.2] Clinical syndrome Relative incidence Ulceroglandular
tularemia 80% Glandular tularemia 15% Oropharyngeal tularemia <5% Oculoglandular tularemia 1% Typhoidal tularemia <1% Pneumonic tularemia <1%
There are 6 natural forms of tularemia in humans: typhoidal, ulceroglandular
; glandular, oculoglandular, oropharyngeal and pneumonic.