Disseminated Tularemia: Finding the Needle in the Haystack. (14th June 2020)

• Record Type: Journal Article
• Authors: Stringham, Sean; Green Hines, Andrea; Attebery, Jonah; Darwin, Lisa; Wachholtz, Abby; Deschamp, Ashley; Choudhry, Ojasvini; Neemann, Kari
• Is Part Of: Journal of the Pediatric Infectious Diseases Society. Volume 10:Number 3(2021)
• Page Start: 376
• Page End: 378
• Publication Date: 2020-06-14
• Subjects: colitis -- hepatitis -- pediatric acute respiratory distress syndrome -- pneumonitis -- tularemia; Communicable diseases in children -- Periodicals; Children -- Diseases -- Periodicals; 618.929
• DOI: 10.1093/jpids/piaa066
• Languages: English
• ISSNs: 2048-7193

Abstract

Abstract: We report a case of disseminated tularemia in a previously healthy 8-month-old male. This case highlights an atypical presentation of tularemia with multisystem organ involvement. The diagnosis was complicated by concurrent primary cytomegalovirus infection. Bronchoalveolar lavage culture confirmed the diagnosis. The patient was successfully treated with gentamicin. Pertinent literature reviewed.