A case of glandular tularemia presenting with prolonged fever and mesenteric lymphadenopathy

摘要

Tularemia is a zoonotic disease caused by Francisella tularensis, a gramnegative coccobacillus that is transmitted to humans by direct contact with or ingestion of infected animal tissues, through the bite of infected arthropods, by consumption of contaminated food or water, or from inhalation of aerosolized bacteria. Presented herein is a case of a four-year-old girl who was diagnosed with glandular tularemia after presenting with prolonged fever and mesenteric lymphadenopathy. A history of contact with a rabbit was a valuable clue for the diagnosis.