South Med J. 2007 Mar;100(3):304-8.

Ulceroglandular tularemia in a nonendemic area.

Guffey MB, Dalzell A, Kelly DR, Cassady KA.

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Department of Pediatrics, Division of Pediatric Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL 35233, USA.

Abstract

Two patients present with the abrupt onset of fever, malaise, anorexia, fatigue, progressive skin lesions and lymphadenitis. These patients represent two of the six cases of tularemia reported in Alabama over the last decade. The cases illustrate how mode of acquisition (direct versus vector-mediated) influences the clinical manifestations of ulceroglandular tularemia. In addition, a brief review of the epidemiology, differential diagnosis, clinical manifestations, and treatment of tularemia is provided.

PMID:: 17396737; [PubMed - indexed for MEDLINE]

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Ulceroglandular tularemia in a nonendemic area.

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