title: Tickborne oculoglandular tularemia: case report and review of seasonal and vectorial associations in 106 cases.
abstract: A patient acquired tickborne oculoglandular tularemia in early summer in rural Virginia. Tick exposure may be a clue to the diagnosis of tularemia in the eastern as well as the western United States, especially in summer months. A review of the experience with tularemia in Virginia for the last 13 years shows a bimodal seasonal incidence of tularemia with an associated vector exposure in 77.4% of 106 cases. The majority of cases occurring during winter months have been associated with rabbit exposure, while those in summer months are often associated with tick exposure.
mesh_terms: D000368:Aged; D000907:Antibodies, Bacterial / Q000032:analysis; D001096:Arachnid Vectors; D003231:Conjunctivitis / Q000188:drug therapy / Q000635:transmission*; D006801:Humans; D008297:Male; D009887:Ophthalmoscopy; D012621:Seasons; D013307:Streptomycin / Q000627:therapeutic use; D013987:Ticks; D014406:Tularemia / Q000188:drug therapy / Q000276:immunology / Q000635:transmission*
chemical_list: D000907:Antibodies, Bacterial; D013307:Streptomycin