title: Ulceroglandular tularemia in a nonendemic area.
abstract: Two patients present with the abrupt onset of fever, malaise, anorexia, fatigue, progressive skin lesions and lymphadenitis. These patients represent two of the six cases of tularemia reported in Alabama over the last decade. The cases illustrate how mode of acquisition (direct versus vector-mediated) influences the clinical manifestations of ulceroglandular tularemia. In addition, a brief review of the epidemiology, differential diagnosis, clinical manifestations, and treatment of tularemia is provided.
authors.affiliation: Department of Pediatrics, Division of Pediatric Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL 35233, USA.
authors.forename: M Brad
authors.initials: MB
authors.lastname: Guffey
authors.forename: Alex
authors.initials: A
authors.lastname: Dalzell
authors.forename: David R
authors.initials: DR
authors.lastname: Kelly
authors.forename: Kevin A
authors.initials: KA
authors.lastname: Cassady
mesh_terms: D001365:Axilla; D002648:Child; D002675:Child, Preschool; D005260:Female; D006229:Hand Dermatoses / Q000382:microbiology*; D006801:Humans; D008199:Lymphadenitis / Q000382:microbiology; D008297:Male; D012883:Skin Ulcer / Q000382:microbiology*; D013909:Thorax; D014406:Tularemia / Q000175:diagnosis*