Difficulty in the Clinical Diagnosis of Tularemia: Highlighting the Importance of a Physical Exam

• Main Authors: Rupin Kumar (Author), Mohamed Mansour (Author), Jacqueline Brunetto (Author), Renuka Verma (Author), Margaret Fisher (Author), Jonathan Teitelbaum (Author)
• Format: Book
• Published: Hindawi Limited, 2018-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

We report an 18-month-old male who presented with fever and nonspecific symptoms. He was evaluated for multiple differential diagnoses including Kawasaki disease and JIA and received treatment for them. After he was readmitted, tularemia was considered based on the physical exam finding of an ulcer...