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Tularemia

Alternative Names: Deerfly fever; Rabbit fever Treatment: The goal of treatment is to eliminate the infection with antibiotic therapy. Streptomycin and tetracycline are commonly used in this infection. Text Continues Below Note: oral tetracycline is usually not prescribed for children until after all the permanent teeth have erupted. It can permanently discolor teeth that are still forming. Expectations (prognosis): Tularemia is fatal in about 5% of untreated cases and in less than 1% with treatment. Complications: meningitis pneumonia pericarditis osteomyelitis Calling your health care provider: Call your health care provider if symptoms develop after a rodent bite, tick bite, or exposure to the flesh of a wild animal. References: Cronquist SD. Tularemia: the disease and the weapon.  Dermatol Clin. 2004; 22(3): 313-20, vi-vii. Long SS, Pickering LK, Prober CG. Principles and Practice of Pediatric Infectious Diseases. 2nd ed. New York, NY: Elsevier; 2003:917. Cohen J, Powderly WG. Infectious Diseases. 2nd ed. New York, NY: Elsevier; 2004:1649-1653.

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