Infection with this virus is typified by high fever, maculopapular rash, conjunctivitis, cough, and coryza (1).

The URTI category included streptococcal pharyngitis and tonsillitis, acute upper respiratory tract infection not otherwise specified (NOS), acute rhinitis, head cold, nasopharyngitis, pharyngitis, and coryza.

After an incubation period of 2 to 14 days, symptoms begin with an abrupt onset of fever (100[degrees] to 104[degrees]F), headache, chills, rigor, body aches, coryza, and sore throat: As was the case with our patient, the glandular form of tularemia involves adenopathy, usually cervical in the deep jugular chain without an apparent skin lesion.