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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The incubation period is from two to seven days, after which the disease may be manifested in a variety ways:

  • ulceroglandular form:
    • this is the commonest manifestation of the disease
    • a papule forms at the site of entry of the infection
    • the papule ulcerates and the patient develops a suppurative, tender lymphadenopathy
    • if the site of inoculation is the eye then the patient develops a purulent conjunctivitis and periauricular lymphadenopathy

  • pneumonic form:
    • presentation is with cough and chest pain
    • the patient develops a pneumonia
    • occasionally there is a pericarditis

  • septicaemic form:
    • presentation is with an acute fever of sudden onset, headache, myalgia and shock

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