(2) Glandular tularemia. This is the same form of disease as
ulceroglandular tularemia. The difference is that the primary lesion does not occur.
(3) Oculoglandular tularemia. This disease develops when contaminated
material reaches the conjunctiva. The primary lesion occurs on the lower eyelid. This
lesion consists of an ulcerated papula with a swelling of the regional lymph node.
(4) Pulmonary tularemia. Farm workers or laboratory workers are affected
by this form of tularemia. It is caused by those people inhaling particles in the air.
These particles caused pneumonia in humans. It should be noted that a little less than
one third of those having tularemia of any kind develop bronchopneumonia.
(5) Typhoid tularemia. People contract this disease by eating food that is
contaminated, usually the meat of infected wild rabbits. The disease can also be
contracted by drinking contaminated water. These are the symptoms: gastroenteritis,
fever, toxemia, ulcerative lesions in the mucosa of the mouth, pharynx, and the
intestines. Sometimes the cervical, pharyngeal, and lymph glands swell.
c. Treatment. Two methods of treatment are usual. First, the drug
streptomycin, the drug of choice, can be administered. Second, put a wet saline
dressing on the primary lesions.
d. Prevention and Control. These measures are useful in preventing this
disease in humans.
(1)
Use repellent and protective clothing to prevent ticks or other arthropod
bites.
(2)
Search for ticks frequently and remove them immediately.
(3)
Use gloves when handling and skinning wild animals.
(4) Don't drink untreated water in areas where tularemia is suspected.
Disinfect the water before drinking it.
(5)
Be sure meat from wild game and birds is thoroughly cooked before
eaten.
MD0589
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