- Recent 3rd World Travel, consumption of undercooked wild animals, hand-to-mouth contact after crushing ticks
- Fever, Oral ulcers, Large lymph nodes
- No response to Penicillin (if Rx’d)
Diagnosis Difficult:
- Antibody to Francisella tularensis; consult I.D. if positive
Case-Clustering gets reported as possible bio-terrorism
See posting Sore Throat – 2.