title: Tularemia presenting as pulmonary nodules in an immunocompromised patient.
abstract: Tularemia is a zoonotic disease caused byFrancisella tularensisthat can be transmitted to humans when they handle rabbits, receive tick bites, consume contaminated water, or inhale aerosolized particles. We present the case of a 51-year-old white man with rheumatoid arthritis who was taking immunosuppressive medications and presented with tularemia. Our patient acquired the typhoidal form of tularemia, which is a severe systemic illness that manifests with fevers, headaches, myalgias, vomiting, diarrhea, and neurological symptoms, due to his immunocompromised state. The diagnosis was made through biopsy of a pulmonary nodule found incidentally on computed tomography scan.
authors.affiliation: Departments of Radiology (Alias), Internal Medicine (Fallahzadeh), and Infectious Diseases (Berhe), Baylor University Medical Center at Dallas, Texas.
authors.forename: Tony
authors.initials: T
authors.lastname: Alias
authors.affiliation: Departments of Radiology (Alias), Internal Medicine (Fallahzadeh), and Infectious Diseases (Berhe), Baylor University Medical Center at Dallas, Texas.
authors.forename: Mohammad Kazem
authors.initials: MK
authors.lastname: Fallahzadeh
authors.affiliation: Departments of Radiology (Alias), Internal Medicine (Fallahzadeh), and Infectious Diseases (Berhe), Baylor University Medical Center at Dallas, Texas.
authors.forename: Mezgebe
authors.initials: M
authors.lastname: Berhe