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Disease Name: Tularemia


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Please review the Idaho Reportable Disease Rules (IDAPA 16.02.10) for the most up-to-date information.


Overview / Case Definition

Tularemia is a disease of animals and humans caused by the bacterium Francisella tularensis.

Glandular and ulceroglandular forms may be mistaken for other pyogenic bacterial infections, cat-scratch fever, syphilis, LGV, TB, NTBM, toxoplasmosis, sporotrichosis, rat-bite fever, anthrax, plague, herpes simplex, et al. Oropharyngeal form may be mistaken for streptococcal pharyngitis, infectious mononucleosis, adenoviral infection, or diphtheria. Oculoglandular form may be mistaken for mumps if lymphadenopathy predominates. Differential diagnosis of typhoidal form includes typhoid fever, brucellosis, legionellosis, Q-fever, and any other cause of prolonged fever without localizing signs. The differential diagnosis of pneumonic tularemia includes Mycoplasma pneumonia, legionellosis, Chlamydophila pneumoniae, Q-fever, psittacosis, tuberculosis, deep mycoses, and many other causes of atypical or chronic pneumonia.

Laboratory Exposure: (http://www.cdc.gov/tularemia/laboratoryexposure/index.html)


Restrictions

Standard precautions are recommended.


Reporting

Immediately, at the time of identification

Reportable by Healthcare and Labs:

Reportable by Food Service Facility:

Suspect Reportable:

Reporting Timeframe: Immediately, at the time of identification



Diagnosis / Testing

Blood tests and cultures can help confirm the diagnosis.


Treatment

http://www.cdc.gov/tularemia/clinicians/index.html


Additional Information


Click to Call South Central Public Health District

Click to Call the Idaho State Epidemiologist

Click to Call Idaho State Communications