What are the key features of ulceroglandular tularemia?

Ulceroglandular tularemia is characterized primarily by the presence of a skin lesion that often begins as a small, raised bump, or papule, and progresses to an ulcerated sore. This skin lesion is also commonly accompanied by swollen lymph nodes, reflecting the infectious nature of the disease as it affects the body's lymphatic system. The ulcer typically arises at the site of a cut or abrasions and is a hallmark presentation for this specific form of tularemia, which is primarily transmitted through contact with infected animals or insect bites.

In contrast, other features like respiratory symptoms, rash without fever, or neurological involvement are not characteristic of ulceroglandular tularemia. Respiratory symptoms are associated with other forms of tularemia, such as pneumonia. A rash without fever doesn’t align with the typical clinical presentation, as fever is usually present in conjunction with other symptoms. Neurological involvement is also not a primary feature of ulceroglandular tularemia but is seen in rare cases or other forms of the disease, making the skin lesion and its progression the central focus for diagnosis and understanding of this specific tularemia variant.