title: Tularemia: review of eight cases of tick-borne infection and the epidemiology of the disease in Georgia.
abstract: In the period 1960 to 1979, 177 cases of tularemia occurred in residents of Georgia. A tick bite was the implicated source of exposure in eight cases (4.5%), whereas 91 cases (51.4%) were associated with direct contact with infected rabbits. In Georgia and other southeastern states, the epidemiology of human tularemia infection primarily involves rabbits. However, a diagnosis of tularemia should still be considered in this region in a febrile patient with or without a primary lesion or reported exposure to rabbits. A history of having been bitten by a tick may be the major clue in determining the diagnosis. A primary ulcerative lesion on the legs or in concealed body areas such as the axillary or intergluteal regions, is commonly the presenting sign in the patient with tick-borne tularemia.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D001096:Arachnid Vectors; D004196:Disease Outbreaks; D004199:Disease Vectors; D005260:Female; D005845:Georgia; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011817:Rabbits; D012189:Retrospective Studies; D012883:Skin Ulcer / Q000209:etiology; D013307:Streptomycin / Q000627:therapeutic use; D013754:Tetracyclines / Q000627:therapeutic use; D013987:Ticks / Q000382:microbiology*; D014406:Tularemia / Q000188:drug therapy / Q000453:epidemiology* / Q000209:etiology
chemical_list: D013754:Tetracyclines; D013307:Streptomycin