Same species; different diseases: How and why typhoidal
and non typhoidal
Salmonella enterica serovars differ.
While ulceroglandular and glandular tularemia remain the more common presentation, a number of outbreaks of typhoidal
and pulmonary tularemia have been reported and reflect a diverse range of environmental exposures resulting in infection.
Another aspect of this disease worth noting is that typhoidal
or pneumonic tularemia, especially in non-endemic areas, should suggest the possibility of an act of bioterrorism.
The clinical presentations are serious and multiple, ranging from glandular to pneumonic and typhoidal
It is interesting to note that an association between non-typhoidal
salmonellosis and/or typhoidal
salmonellosis and malaria was reported in the studies reviewed.
Tularemia produces several specific syndromes, including ulceroglandular fever, typhoidal
tularemia and pneumonic tularemia.
The clinical forms of tularemia are ulceroglandular or glandular, oculoglandular, oropharyngeal, respiratory, and typhoidal
Two distinct clinical forms of tularemia have been described: typhoidal
and ulcero glandular.