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Case Reports
. 2022 Aug 18;12(8):2000.
doi: 10.3390/diagnostics12082000.

Tularemia Presenting Solely with Cervical Lymphadenopathy and Fever

Göran Ramin Boeckel  1   2 , Jan Basri Adiprasito  2 , Neele Judith Froböse  3 , Frieder Schaumburg  3 , Richard Vollenberg  2 , Phil-Robin Tepasse  2
Affiliations
Case Reports

Tularemia Presenting Solely with Cervical Lymphadenopathy and Fever

Göran Ramin Boeckel et al. Diagnostics (Basel). .

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.

Keywords: Francisella tularensis; fever of unknown origin; lymphadenopathy; tuberculosis; tularemia.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Clinical course of the lymph node extirpation. (A) initial presentation; (B) upon transfer to our hospital; (C) one month after treatment with ciprofloxacin.
See this image and copyright information in PMC

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