[Lung involvement in tularemia]

We present three cases of pneumonia by Francisella Tularensis recently diagnosed. We also review this disease with the literature. All the studied patients were adults; two of them had epidemiological antecedents because of being in contact with hares. They present a clinical-radiological symptoms compatible with the pneumonic case described in the literature. The diagnosis was realized through serology in two cases and hemocultive in the other one. All patients had a positive answer to the antibiotic treatment, two cases with gentamicine and the other one with macrolide. There are not references about the subject in the bibliographical research we have realized in Medline. We did not find information in the Spanish base (IME), perhaps that these were the first cases found in the Spanish literature.