The lining of the eyelids and the surface of the white of the eye becomes red and severely painful, with multiple small yellow bumps and pitted sores (ulcers). Lymph nodes around the ears, under the jaw, or in the neck may swell and become painful.
This type accounts for only about 1% of all cases of tularemia
Five types of illness may occur, depending on where/how the bacteria enter the body: Ulceroglandular/glandular tularemia, Oculoglandular tularemia,Oropharyngeal and gastrointestinal tularemia, Pulmonary tularemia, Typhoidal tularemia
Occasionally, the symptoms of cat-scratch disease take the form of what is called Parinaud's oculoglandular syndrome.
In such cases, a small sore develops on the palpebral conjunctiva (the membrane lining the inner eyelid), and is often accompanied by conjunctivitis (inflammation of the membrane) and swollen lymph nodes in front of the ear.
Sores in the mouth and throat, as well as abdominal pain, nausea and vomiting, ulcers in the intestine, intestinal bleeding, and diarrhea may all occur.
Sores in the mouth and throat, as well as abdominal pain, nausea and vomiting, ulcers in the intestine, intestinal bleeding, and diarrhea may all occur.
Symptoms include continuously high fever, terrible headache, and confusion. The illness may result in a severely low blood pressure, with signs of poor blood flow to the major organs (shock).
Researchers suspect that the first step in the development of Parinaud's oculoglandular syndrome occurs when Bartonella henselae bacteria pass from a cat's saliva to its fur during grooming.
Ulceroglandular/glandular tularemia. Seventy-five to 85% of all cases are of this type.
In the United States, the vast majority of cases of tularemia occur in the southeastern and Rocky Mountain states.
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