Feline tularemia is a zoonotic disease caused by the gram-negative ple
omorphic coccobacillus Francisella tularensis. F, tularensis can infec
t a variety of mammals, birds, and arthropod vectors Cats can become i
nfected by direct contact with infected animals. ingestion of infected
tissue or contaminated water, arthropod bites, or inhalation of aeros
olized particles. Clinical manifestations of feline tularemia can rang
e from mild to fatal clinical disease. Definitive diagnosis is based o
n demonstrating rising titers of agglutinating antibodies to F. tulare
nsis, detecting the presence of F. tularensis organisms in tissue by f
luorescent antibody tests, or selectively culturing the organisms. Iso
lation is not usually attempted, however, because of the significant r
isk of infection in laboratory personnel. Treatment consists of antibi
otic therapy with gentamicin, enrofloxacin, tetracycline, or chloramph
enicol; however, F. tularensis is resistant to beta-lactam antibiotics
. The best preventive measure is not allowing cats to be exposed to th
e organism in enzootic areas. Because tularemia is overlooked as a pub
lic health risk, veterinarians must begin to consider the disease in t
heir diagnostic routine.