title: Long-Lasting Fever and Lymphadenitis: Think about F. tularensis.
abstract: We report the case of glandular tularemia that developed in a man supposedly infected by a tick bite in Western Switzerland. Francisella tularensis (F. tularensis) was identified. In Europe tularemia most commonly manifests itself as ulcero-glandular or glandular disease; the diagnosis of tularemia may be delayed in glandular form where skin or mucous lesion is absent, particularly in areas which are assumed to have a low incidence of the disease.
authors.affiliation: Department of Internal Medecine, Hôpital du Jura, 2800 Délemont, Switzerland ; Department of Internal Medecine, Hôpital de la Broye, 1530 Payerne, Switzerland.
authors.forename: Maria Vittoria
authors.initials: MV
authors.lastname: Longo
authors.affiliation: Institute of Microbiology, University of Lausanne and University Hospital Center, 1011 Lausanne, Switzerland.
authors.forename: Katia
authors.initials: K
authors.lastname: Jaton
authors.affiliation: Institute of Veterinary Bacteriology, Vetsuisse Faculty, University of Bern, 3012 Bern, Switzerland.
authors.forename: Paola
authors.initials: P
authors.lastname: Pilo
authors.affiliation: Department of Internal Medecine, Hôpital de la Broye, 1530 Payerne, Switzerland.
authors.forename: David
authors.initials: D
authors.lastname: Chabanel
authors.affiliation: Unit of Infectious Diseases, Department of Internal Medicine, HFR-Hôpital cantonal, 1708 Fribourg, Switzerland.
authors.forename: Véronique
authors.initials: V
authors.lastname: Erard