Tularemia

Todayโ€™s path rounds are on ๐ญ๐ฎ๐ฅ๐š๐ซ๐ž๐ฆ๐ข๐š!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐“๐ฎ๐ฅ๐š๐ซ๐ž๐ฆ๐ข๐š is a bacterial disease caused by ๐…๐ซ๐š๐ง๐œ๐ข๐ฌ๐ž๐ฅ๐ฅ๐š ๐ญ๐ฎ๐ฅ๐š๐ซ๐ž๐ง๐ฌ๐ข๐ฌ. It was first described in the county of Tulare in California, hence the name!

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
This disease affects numerous species, including humans. We most commonly see this disease in cats, rabbits and wild rodents like beavers and muskrats.

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
Francisella tularensis can be spread in many different ways, including ๐š๐ž๐ซ๐จ๐ฌ๐จ๐ฅ (particles in the air), direct contact, ingestion and biting insects and ticks. For herbivores and people, the most common route of infection is being bitten by an infected tick. Carnivores tend to acquire the bacteria from eating carcasses of infected animals.

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
Tularemia causes a ๐ฌ๐ž๐ฉ๐ญ๐ข๐œ๐ž๐ฆ๐ข๐œ ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž, meaning that the bacteria is present in the bloodstream and showers multiple different organs. When the bacteria lodge in an organ, they cause areas of ๐ง๐ž๐œ๐ซ๐จ๐ฌ๐ข๐ฌ (cell death). This large amount of necrosis can lead to organ failure, and in some cases may lead to death of the animal. In particular, tularemia seems to like the liver, spleen, lungs and lymph nodes. The bacteria also stimulates a potent immune response, leading to high fever.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
Tularemia can be diagnosed based on ๐›๐š๐œ๐ญ๐ž๐ซ๐ข๐š๐ฅ ๐œ๐ฎ๐ฅ๐ญ๐ฎ๐ซ๐ž, where the organism is grown on a culture plate, or by ๐๐‚๐‘, where the DNA of the bacteria is identified directly.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐? ๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ฉ๐ซ๐ž๐ฏ๐ž๐ง๐ญ๐ž๐?
If caught early, antibiotics can be effective at treating the disease. However, later stages of the disease are very difficult to treat! Preventative anti-tick medications and preventing your carnivorous pets from eating wildlife carcasses are the best methods of keeping animals safe from tularemia. Also, if you are eating a wildlife species yourself, make sure it is adequately cooked!

๐๐ก๐จ๐ญ๐จ๐ฌ
1-4) Multiple organs including the liver, spleen, and intestinal tract showing white areas of necrosis scattered throughout!
5-6) What those white areas look like under the microscope. You can see the bacteria pretty easily under our usual H and E stain (the pink one), but a ๐†๐ซ๐š๐ฆ ๐ฌ๐ญ๐š๐ข๐ง specific for bacteria highlights them even better!

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Maxie, G. Jubb, Kennedy and Palmerโ€™s Pathology of Domestic Animals, Volume 3. Sixth Edition.
Foley JE. Tularemia in Animals. Merck Veterinary Manual 2020.

Photos 1-5 ยฉ Noahโ€™s Arkive contributors Doster, Daoust, Leighton, King, Williams licensed under CC BY-SA 4.0.

Leave a Reply