Tularemia, also called deerfly fever or rabbit fever, is a disease
that usually occurs in animals. But the disease can be passed to
people through infected insects or animals or by exposure to contaminated water
Humans are most commonly infected through:
Being bitten by a tick, deerfly, or
Skinning, dressing, or handling diseased animals.
Drinking water that is contaminated with urine or
Inhaling contaminated dust.
This disease is found throughout the United States, but most cases
are reported in Arkansas, Missouri, and Oklahoma. Symptoms usually start within
21 days (but average 1 to 10 days) after the tick bite or other exposure.
Symptoms of tularemia include:
Chills and high fever up to
106°F (41.1°C), often starting
Headache that is often severe.
craterlike sore (ulcer) at the site of the bite.
William H. Blahd, Jr., MD, FACEP - Emergency Medicine & H. Michael O'Connor, MD - Emergency Medicine