Guerrant R L, Humphries M K, Butler J E, Jackson R S
Arch Intern Med. 1976 Jul;136(7):811-3. doi: 10.1001/archinte.136.7.811.
A patient acquired tickborne oculoglandular tularemia in early summer in rural Virginia. Tick exposure may be a clue to the diagnosis of tularemia in the eastern as well as the western United States, especially in summer months. A review of the experience with tularemia in Virginia for the last 13 years shows a bimodal seasonal incidence of tularemia with an associated vector exposure in 77.4% of 106 cases. The majority of cases occurring during winter months have been associated with rabbit exposure, while those in summer months are often associated with tick exposure.
一名患者于初夏在弗吉尼亚州农村感染了蜱传眼腺型兔热病。在美国东部和西部，蜱虫暴露可能是兔热病诊断的一个线索，尤其是在夏季。回顾弗吉尼亚州过去13年兔热病的发病情况，发现兔热病的季节性发病率呈双峰模式，在106例病例中有77.4%与相关病媒暴露有关。冬季发生的大多数病例与接触兔子有关，而夏季发生的病例通常与蜱虫暴露有关。
