Tularaemia

Alternate Name:

Test:

B.culture (+), specific skin test (+), S.specific anti-body (RT), S.IgM (H), S.IgG:IgM ratio (> 2), WCC (N)

Sign:

Adenitis, inoculation site papule or ulcer

Dd:

Rickettsial infections, cat-scratch disease, infec-tious mononucleosis, meningococcal infections, fungaemia

Phys:

Arthropod or water borne infection. Occurs only,innorthern hemisphere, but not in UK. Zoonotic in­fection. Vaccine available in Russia