Tularemia (rabbit fever, hunter's disease, deer fever) is caused by Francisella tularensis, has a wide geographic distribution, and is acquired from direct contact with the fluids of carriers or through insect vectors. There are 6 major clinical patterns of tularemia: glandular, ulceroglandular (most common), oculoglandular, typhoidal, pneumonic, and oropharyngeal. Any form of tularemia can be complicated by hematogenous spread, with abrupt onset of fever, headache, chills and rigors, myalgia, coryza, and sore throat, often with pulse-temperature dissociation. Complications include ARDS, renal failure, rhabdomyolysis, hepatitis, and DIC.