Tularemia - Revision history

Rossdonaldson1: /* Background */

2022-09-07T16:36:26Z

Background

← Older revision		Revision as of 16:36, 7 September 2022
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	*Primarily spread through tick and deer fly bites		*Primarily spread through tick and deer fly bites
	**Ticks that spread Tularemia include:		**Ticks that spread Tularemia include:
	#Dog tick (Dermacentor variabilis)		**#Dog tick (Dermacentor variabilis)
	#Wood tick (Dermacentor andersoni)		**#Wood tick (Dermacentor andersoni)
	#Lone star tick (Amblyomma americanum)		**#Lone star tick (Amblyomma americanum)
	*Also spread through contact with infected animals (rabbits, rodents), ingestion of contaminated water, inhalation of aerosolized material (ex. running over dead animal with lawn mower)		*Also spread through contact with infected animals (rabbits, rodents), ingestion of contaminated water, inhalation of aerosolized material (ex. running over dead animal with lawn mower)

Rossdonaldson1: /* Clinical Features */

2022-09-07T16:21:33Z

Clinical Features

← Older revision		Revision as of 16:21, 7 September 2022
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	==Clinical Features==		==Clinical Features==
	[[File:Tularemia lesion.jpg\|thumb\|A tularemia lesion on the back of the right hand.]]		[[File:Tularemia lesion.jpg\|thumb\|A tularemia lesion on the back of the right hand.]]
			[[File:PMC3223485 eplasty11e47 fig4.png\|thumb\|Tularemia with cutaneous lesions on the dorsum of the right hand.]]
	*Features depend on site of infection		*Features depend on site of infection
	*All are associated with fevers		*All are associated with fevers
	*At risk patient groups include farmers, meat handlers, landscapers, veterinarians, hunters, sheep shearers and taxidermists.		*At risk patient groups include farmers, meat handlers, landscapers, veterinarians, hunters, sheep shearers and taxidermists.

	===Ulceroglandular===		===Ulceroglandular===
	*'''Most common form''', represents about 75% of disease		*'''Most common form''', represents about 75% of disease
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	**Usually inguinal or axillary		**Usually inguinal or axillary
	**Cervical or occipital in children		**Cervical or occipital in children

	===Glandular===		===Glandular===
	*Regional lymphadenopathy with no skin lesions or ulceration		*Regional lymphadenopathy with no skin lesions or ulceration
	*Most common presentation among children		*Most common presentation among children
	*Suppurated nodes may need drainage		*Suppurated nodes may need drainage

	===Oropharyngeal===		===Oropharyngeal===
	*From ingesting contaminated material		*From ingesting contaminated material
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	**Exudative pharyngitis/tonsilitis		**Exudative pharyngitis/tonsilitis
	**Cervical lymphadenitis		**Cervical lymphadenitis

	===Pneumonic===		===Pneumonic===
	*Associated with highest mortality rate		*Associated with highest mortality rate
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	***Exudative effusion with lymphocytic predominance		***Exudative effusion with lymphocytic predominance
	*May also be secondary to hematologic dissemination from other source		*May also be secondary to hematologic dissemination from other source

	===Oculoglandular===		===Oculoglandular===
	*Occurs with inocculation into eye (aerosols, rubbing with contaminated fingers, splash, etc.)		*Occurs with inocculation into eye (aerosols, rubbing with contaminated fingers, splash, etc.)

Elcatracho: /* Thyphoidal */

2021-01-06T18:19:19Z

Thyphoidal

← Older revision		Revision as of 18:19, 6 January 2021
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	**May lead to corneal ulceration		**May lead to corneal ulceration
	*May have preauricular, cervical or submandibular lymphadenopathy		*May have preauricular, cervical or submandibular lymphadenopathy
	===~~Thyphoidal~~===		===Typhoidal===
	*Tularemia that does not fit into any of the other groups		*Tularemia that does not fit into any of the other groups
	**May present as sepsis		**May present as sepsis
	**Often has associated GI symptoms		**Often has associated GI symptoms
			**No skin lesions

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Clinical Features */

2020-09-10T16:35:12Z

Clinical Features

← Older revision		Revision as of 16:35, 10 September 2020
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	==Clinical Features==		==Clinical Features==
			[[File:Tularemia lesion.jpg\|thumb\|A tularemia lesion on the back of the right hand.]]
	*Features depend on site of infection		*Features depend on site of infection
	*All are associated with fevers		*All are associated with fevers

Alexgrohmann: /* Thyphoidal */

2020-02-23T18:28:29Z

Thyphoidal

← Older revision		Revision as of 18:28, 23 February 2020
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	*Tularemia that does not fit into any of the other groups		*Tularemia that does not fit into any of the other groups
	**May present as sepsis		**May present as sepsis
			**Often has associated GI symptoms

	==Differential Diagnosis==		==Differential Diagnosis==

Alexgrohmann: /* Clinical Features */

2020-02-23T18:27:09Z

Clinical Features

← Older revision		Revision as of 18:27, 23 February 2020
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	*Features depend on site of infection		*Features depend on site of infection
	*All are associated with fevers		*All are associated with fevers
			*At risk patient groups include farmers, meat handlers, landscapers, veterinarians, hunters, sheep shearers and taxidermists.
	===Ulceroglandular===		===Ulceroglandular===
	*'''Most common form''', represents about 75% of disease		*'''Most common form''', represents about 75% of disease

Aganapathy: /* Background */

2018-01-22T00:06:32Z

Background

← Older revision		Revision as of 00:06, 22 January 2018
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	#Wood tick (Dermacentor andersoni)		#Wood tick (Dermacentor andersoni)
	#Lone star tick (Amblyomma americanum)		#Lone star tick (Amblyomma americanum)
	*Also spread through contact with infected animals, ingestion of contaminated water, inhalation of aerosolized material (ex. running over dead animal with lawn mower)		*Also spread through contact with infected animals (rabbits, rodents), ingestion of contaminated water, inhalation of aerosolized material (ex. running over dead animal with lawn mower)

	===Potential [[Bioterrorism]] Threat===		===Potential [[Bioterrorism]] Threat===

Rossdonaldson1: /* References */

2017-09-17T16:56:31Z

References

← Older revision		Revision as of 16:56, 17 September 2017
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	*[[Tick borne illnesses]]		*[[Tick borne illnesses]]
	*[[Bioterrorism]]		*[[Bioterrorism]]

			==External Links==
			*http://www.cdc.gov/tularemia/index.html

	==References==		==References==
	*http://www.cdc.gov/tularemia/index.html
	<references/>		<references/>
	[[Category:ID]]		[[Category:ID]]

Rossdonaldson1: /* References */

2017-09-17T16:56:11Z

References

← Older revision		Revision as of 16:56, 17 September 2017
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	==References==		==References==
	*http://www.cdc.gov/tularemia/index.html		*http://www.cdc.gov/tularemia/index.html
	<references/		<references/>
	[[Category:ID]]		[[Category:ID]]

Rossdonaldson1: /* References */

2017-09-17T16:56:00Z

References

← Older revision		Revision as of 16:56, 17 September 2017
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	==References==		==References==
	*http://www.cdc.gov/tularemia/index.html		*http://www.cdc.gov/tularemia/index.html
			<references/
	[[Category:ID]]		[[Category:ID]]