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==pathogen==
*''Francisella tularensis''
==epidemiology==
*widespread throughout Northern Hemisphere
==transmission==
*tick bite by ''Ixodes''
*aspiration of aerosolized pathogen
*ingestion of contaminated food and water
*close contact with infected animals
==clinical==
*Type A
**fatal
*Type B
**ulcerograndular
***entry site's lymphadenopathy ± skin ulcers
**ocular
***conjunctivitis with pain and purulent discharge
**oropharyngeal
***pharyngitis, GI bleeding
**pneumonitis
***when aspirate aerosolized ''Francisella''
***necrotizing
**septicemia
==treatment==
*gentamycin
*doxycycline
