In what regions is the ulceroglandular form of tularemia commonly reported?

The ulceroglandular form of tularemia is predominantly reported in specific regions where the disease is endemic and where the vectors that transmit the bacteria Francisella tularensis are prevalent. The correct response identifies Arkansas, Oklahoma, Missouri, and Texas as commonly affected areas.

These states are located in the central United States, which historically have experienced higher incidences of tularemia. The ecology of these regions supports the survival of the bacteria in both animal reservoirs and insect vectors, like ticks and deerflies, that facilitate transmission to humans.

Understanding the epidemiology of tularemia enables healthcare providers to better identify and manage cases, especially in regions with higher incidence rates, improving public health responses and treatment outcomes. This localized knowledge is critical for prevention strategies, awareness in at-risk populations, and informing healthcare professionals about potential exposure routes in these areas.