Pediatric tularemia in Denmark: a forgotten disease.
Camilla Luise Thelin, Birgitte Smith, Thomas Ulrik Hoffmann et al.
✦ AI-curated · Sources linked
Case in brief
Two pediatric patients in Denmark presented with persistent fever, an eschar, and inguinal lymphadenitis, initially misdiagnosed as a common bacterial infection. Both cases exhibited a lack of response to beta-lactam antibiotics, leading to a delayed diagnosis of tularemia. Recognition of the disease allowed for appropriate management and resolution of symptoms.
Diagnostic / clinical pearl
Clinicians should consider tularemia in cases of persistent lymphadenitis, especially when accompanied by a punched-out skin ulcer, to avoid misdiagnosis and delayed treatment.
Why it matters
This case underscores the need for heightened awareness of tularemia in regions where it was previously considered rare, as it may be more prevalent than recognized.