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(Rabbit Fever; Deer-Fly Fever)



Symptoms usually occur 3-5 days after exposure. The symptoms will depend on where the bacteria entered the body, the type and amount of bacteria you were exposed to, and your immune system.
Pneumonic symptoms (lung problems):
Ulceroglandular symptoms (skin and lymph gland problems):
  • Raised, red bump that continues to swell
  • Raised area opens, drains pus, and forms an ulcer
  • May form a dark scab
  • Swollen, tender lymph nodes
  • Fever
  • Chills
Glandular symptoms (problems in lymph nodes):
  • Swollen, tender lymph nodes, but not sore
Oculoglandular symptoms (problems in eyes and lymph nodes):
  • Sensitivity to light
  • Tearing
  • Puffy eyelid
  • Swelling, redness, and sores in the eye
  • Swollen lymph nodes
Oropharyngeal symptoms (mouth and throat problems):
  • Irritated membranes in the mouth
  • Sore throat
  • Ulcers in the throat or on tonsils
  • Swollen lymph nodes
Intestinal symptoms:
Typhoidal symptoms (full body problems):
  • Fever
  • Chills
  • Headache
  • Muscle aches
  • Poor appetite
  • Nausea
  • Vomiting
  • Diarrhea
  • Abdominal pain
  • Cough
Symptoms of progression from other types:
  • Swollen lymph nodes
  • Difficulty breathing
  • Bleeding
  • Confusion
  • Coma
  • Organ failure
  • Shock
  • Death
Swollen Lymph Nodes
Swollen Lymph Nodes
Copyright © Nucleus Medical Media, Inc.


The Center for Biosecurity of UPMC

Centers for Disease Control and Prevention (CDC)



Health Canada

Public Health Agency of Canada



AAP Red Book: Report of the Committee on Infectious Diseases. 27th ed. American Academy of Pediatrics; 2006.

Cecil Textbook of Medicine. 22nd ed. WB Saunders Company; 2004.

Centers for Disease Control and Prevention (CDC) website. Available at: Updated January 11, 2011. Accessed November 12, 2012.

Griffith's 5-Minute Clinical Consult. 2006 ed. Lippincott Williams & Wilkins; 2005.

Principles and Practice of Infectious Diseases. 6th ed. Churchill Livingstone Inc.; 2004.

Tularemia. Illinois Department of Public Health website. Available at: Accessed November 12, 2012.

Tularemia. US Army Center for Health Promotion and preventive Medicine website. Available at: Updated April 2006. Accessed November 12, 2012.


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