[A persistent inflammatory adenopathy… think about tularemia]

In recent years, we have observed a geographic expansion of tularemia cases recorded in Europe. In Switzerland, the incidence of reported cases almost tripled between 2014 and 2023. The infection is transmitted via a cutaneous, oral, or respiratory route from an animal reservoir, and arthropod vectors are one route of contamination. In Europe, the ulcero-glandular form is the most common. Complications may arise if treatment is inadequate or delayed. Treatment is based on targeted antibiotic therapy. A number of simple preventive measures can be taken to limit transmission. This article provides an overview of current knowledge about tularemia, with practical recommendations for management illustrated by a real-life clinical situation.