- Gram negative rod
- Passed from dying wild animals (e.g. rabbits, muskrats, rabbits, rodents) or sometimes domestic cats to humans via ticks or deer flies
- Can also spread via bio-terrorism
- US Southeast and Rocky Mtns
- Infected animal exposure
- F, c, ha, muscle aches
- Ulceroglandular form: skin ulcers at site of innoculation; then regional adenopathy (arm pit, inguinal region in particular)
- Glandular form: proressive, painful adenopathy (but no skin ulcers)
- Pneumonic form: cough, sob, cp; most severe form; can result from inhaled particles or spread from other sites
- Oropharyngeal (ingesting contaminated water): oral ulcers, sore throat, adenopathy
- Skin ulcers (ulderoglandular)
- Painful, sub-acutely progressive, inflammatory adenopthy (ulceroglandular, glandular)
- Lung findings (pneumonic)
- Oral ulcers, adenopathy (oropharyngeal)
- Diagnosed based on clinical suspicion and serologies
- Often no direct micro/culture due to high risk of spread if aerosolized