title: Tularemia with vesicular skin lesions may be mistaken for infection with herpes viruses.
abstract: The original reports of human infection with Francisella tularensis noted vesicular skin rash as a manifestation. We present 2 cases of tularemia initially diagnosed as herpes simplex or varicella zoster infection. Clinicians must recognize the cutaneous manifestations of tularemia and be able to distinguish these from lesions seen with herpes viruses.
authors.affiliation: Department of Pediatrics, University of Utah, Salt Lake City, UT 84132, USA. Carrie.byington@hsc.utah.edu
authors.forename: Carrie L
authors.initials: CL
authors.lastname: Byington
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Bender
authors.forename: Krow
authors.initials: K
authors.lastname: Ampofo
authors.forename: Andrew T
authors.initials: AT
authors.lastname: Pavia
authors.forename: Kent
authors.initials: K
authors.lastname: Korgenski
authors.forename: Judy
authors.initials: J
authors.lastname: Daly
authors.forename: John C
authors.initials: JC
authors.lastname: Christenson
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Adderson
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D005604:Francisella tularensis / Q000302:isolation & purification; D006561:Herpes Simplex / Q000175:diagnosis*; D006562:Herpes Zoster / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D012872:Skin Diseases, Vesiculobullous / Q000175:diagnosis* / Q000382:microbiology; D014406:Tularemia / Q000175:diagnosis* / Q000473:pathology