Tularemia with local lesions confined to the tonsils

Otolaryngological Manifestations of Tularemia

“…1 A reservoir of tularemia occurs in nature, small rodents being most commonly affected, but natural infec¬ tion has been found in many other animal species including birds.10 The disease is transmitted to humans by direct contact with infected animal material,2 by insect bites,5 by inhala¬ tion,8 or via the oral route.4,1" Depend¬ ing on the site of primary invasion the disease can give rise to the follow¬ ing clinical forms: (1) ulceroglandular, (2) oculoglandular, (3) glandular, (4) pulmonary, (5) typhoidal or gas¬ trointestinal, and (6) oropharyngeal.…”