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Show Tularaemia, sometimes callee~ rabti t fovc:r, is only occo.si onally fatal, but is neverthel e ss a v e ry serious d is c o.so o.ntl covu losconco may bo protracted. l. This dd.sease is primarily o.n infection of small wilcl r:i.o.nnn,ls, resident in tho greater portion of the o?tir o Northern Ru gi on . TH.ore is no spccific treatment for this c'. is oo.sc in DD.Uc, Phys i cio.ns, hovv-cvo:r' _1 can relieve the sympto:r:1.s in s omo moo.sure , Comp loto rest in bod is of the 6 roo.tost irn_i:, orto.nceQ, Th0 bast so.fc guarc: against this, thoue;h not always offoctivo, is for tho pa-J:;i.ont to remain in bod for o. loast several days after his tcmporaturo is normaL Sources of Human Infcctiono Tularo.emia in mo.n is accidonto.l and is the rosul t of c~irect or indirect o.cciclontal contact with tho dis on.so in nature. I 1 i ! J l Habl:i ts arc the most frequent source of infoction and ticks come next 0 Rabbit carcasses should bc handled with sus p icion o..t all times and particularly during periods ·w hon thoy a:ro dyi ng~ Tho sp ot te d favor I tick: is likely to bo info ctod with tularaeraia whercv·or this t i c l: occurs ,, and the sane is true of tho American do g tick. Tick oxcroLlon t is hi gh-} ly infectious and care to thorouc;hly cleanse tho hcmds after p i cking , ticks from hors0 s or other ::inimals should always 1rn exorcis e d o Early Symptons c Tho re aro sovoral ty~)os of tularo.or:1.ia. 1,ho most ·c01Tir16n-ono, however, is that . in which thoro is a loco. l ulcer which marks tho si to of infection~ Tho first sy,mptom:; ap pear from 2 t o 11 days uftcr infect i on, tut usually in 4 or 5~ Fr e que ntly t ho onset is suddan and it is gonorally accompani e d b y altor nato r;ori ods of chilly sonsu ti ons anc...~ Thero is comnonly a fr ontal h oa do..cho o.rnl th e cyos may b o soro to touch but o.ro soldor;i info cto d as in I:.ocl::y :Mountain s p otted favor. Swc::, tin s may bo ;?rofus o . The r o is usually bo.ckt-0110 and shifting po. ins in -t~hc Emsclos "t\·co.ln::css is fr e quently f pof ound u An onlo.r gemcnt of the ly1-:~ph c; la:nds which drain tho sito of tho in f o c ti on soon do v o l ops und is usually f oll ow~ od (ruthor than proc e oc1 od ) by tho ap 1:oarnnce of n s u o..11 ho.rd, elovo.to d aroo.. at tho site o f infection., This la ter C.:cvo loFs into an ulcer. Tho loco.tion of this ulcer cl opQnds t o a considc rn'blo 0xton t up on th0 info ct inc o. goncy. If it is a tick it r:.ny occur on any part of tho bo dy, as tho no ck or fuco. hands or arms & If fr om con ta0inu tion, it i $ usua lly on one of the hand so i f I :, n H H II ,II . ,,,, ---~----- ,·•r',".''/'.. rl lf---------~-~------~-~-..,...,..--_,.,.._, ____ . ..'>l'P!l'C,.,.!_ . , . . __ _ _ _ _.....,..,__ ..,,.,.._"P"lll_ · ,_ _..,,It>'-_ _ _ _ _ __, . ~,·~ ~,..;...~...,_- -..,_c,.,,....n. _ r f..t_ ,--,,,llC' |