Tularemia commonly localizes in the lymph nodes of the body and may be transmitted by the tick, flies, lice, horseflies and deer flies

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Tularemia tends to involve regional lymph nodes because the organism enters through skin or mucous membranes and travels via the lymphatic system to nearby nodes, causing glandular or ulceroglandular forms with swollen, tender nodes near the entry site. It is a zoonotic infection that can be transmitted by multiple arthropod vectors. Tick bites are a classic route, and biting flies such as deer flies and horseflies can also transmit the organism during feeding. While lice are not the most common vectors in human tularemia, the disease can be acquired through various arthropod exposures, so acknowledging multiple vector types is accurate. This combination—lymph node localization and transmission by several vectors including ticks and biting flies—makes the statement true.