Tularemia Pneumonia

Infect Dis Clin North Am. 2010 Mar;24(1):43-55. doi: 10.1016/j.idc.2009.10.012.


Francisella tularensis is a zoonotic infection that can be acquired in multiple ways, including a bite from an arthropod, the handling of animal carcasses, consumption of contaminated food and water, or inhalation of infected particles. The most virulent subspecies of F tularensis is type A, which is almost exclusively seen in North America. Pneumonia can occur in tularemia, as either a primary process from direct inhalation, or as a secondary manifestation of ulceroglandular or typhoidal disease. This article describes the history of this infection, epidemiology, methods of diagnosis and treatment, and its potential as a bioterrorism weapon.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Animals
  • Anti-Bacterial Agents / therapeutic use
  • Bioterrorism
  • Francisella tularensis / isolation & purification*
  • Humans
  • Pneumonia, Bacterial / microbiology*
  • Tularemia / complications
  • Tularemia / epidemiology*
  • Tularemia / pathology
  • Tularemia / transmission*
  • Zoonoses / transmission*


  • Anti-Bacterial Agents