Tularemia transmitted by insect bites--Wyoming, 2001-2003.

Morbidity and Mortality Weekly Report | February 25, 2005| | Copyright

Tularemia is a zoonotic disease caused by Francisella tularensis, a fastidious, gram-negative coccobacillus that infects vertebrates, especially rabbits and rodents. In humans, tularemia is classified into six major syndromes: ulcero-glandular (the most common form), glandular, typhoidal, oculoglandular, oropharyngeal, and pneumonic. The case-fatality rate among humans can reach 30%-60% in untreated typhoidal cases (1). Although bites from ticks and handling infected animals are considered the most common modes of tularemia transmission in the United States (2-4), the disease ...

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