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Updated: Aug 30, 2025

Intratracheal Inoculation of Fischer 344 Rats with Francisella tularensis
Published on: September 30, 2017
Tularemia Presenting Solely with Cervical Lymphadenopathy and Fever
Göran Ramin Boeckel1,2, Jan Basri Adiprasito2, Neele Judith Froböse3
1Department of Medicine D for Nephrology and Rheumatology, University Hospital Muenster, 48149 Muenster, Germany.
Abstract:
A 52-year-old German female presented with cervical lymphadenopathy and fever. Despite the initial symptom-presentation leading to the consideration of sarcoidosis, lymphoma, tuberculosis, and toxoplasmosis, an extensive serologic and histo- and molecular pathologic workup eventually indicated a likely diagnosis of tularemia. This case brings to light that tularemia is a diagnostic challenge and requires high reliance on the epidemiological context thorough patient history, and an extensive interdisciplinary diagnostic workup.
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