Tularemia (as cause of Pharyngitis)

RARE !!!  Suspect if:
  • 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.