Two cases of glandular tularemia from Turkey

Tularemia is a bacterial zoonotic disease that is caused by Francisella tularensis. E tularensis is transmitted to humans by handling infected animals, ingestion of contaminated food or water, inhalation of infective aerosols, and arthropod bites. Tularemia outbreaks have been commonly reported in some areas of Europe, such as Sweden, Finland, Portugal, Spain, Kosovo, and Turkey. Tularemia has six different clinical forms, depending on the route of transmission. In Turkey, the most common type is the oropharyngeal form. We present two cases of glandular tularemia with inguinal lymphadenopathy, which is an uncommon manifestation of this disease in our country. The patients were treated with gentamicin for 10 days and completely recovered. Glandular tularemia should be considered in the differential diagnosis of inguinal lymphadenopathy.