1 Department of Pediatrics, Washington University School of Medicine, Division of Infectious Diseases, St. Louis Children's Hospital, St. Louis, Missouri
Since the 1968 Vermont epidemic of tularemia, human disease has been reported in all of the 50 states.1 This brief report draws attention to tularemia as a contemporary pediatric problem, highlights the recent advances in diagnosis,2,3 and points out that it may occur in city as well as in country children.
Case Report
A 6-year-old boy (SLCH-88133) from the city of St. Louis was admitted to St. Louis Children's Hospital on January 12, 1972, because of preauricular and cervical lymphadenopathy. Two months prior to admission he developed epiphora, erythema, and edema of his right eye. Within two days, lethargy, fever (104 F) and painful swelling of the entire right side of his face and neck were noted.
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G. C. Szalay Tularemia in an Inner City Child: A Case "Imported" into California Clinical Pediatrics, April 1, 1974; 13(4): 375 - 376. [PDF] |
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