Tularemia Presenting Solely with Cervical Lymphadenopathy and Fever

Göran Ramin Boeckel; Jan Basri Adiprasito; Neele Judith Froböse; Frieder Schaumburg; Richard Vollenberg; Phil-Robin Tepasse

doi:10.3390/diagnostics12082000

Tularemia Presenting Solely with Cervical Lymphadenopathy and Fever

Diagnostics (Basel). 2022 Aug 18;12(8):2000. doi: 10.3390/diagnostics12082000.

Authors

Göran Ramin Boeckel^{1

2}, Jan Basri Adiprasito², Neele Judith Froböse³, Frieder Schaumburg³, Richard Vollenberg², Phil-Robin Tepasse²

Affiliations

¹ Department of Medicine D for Nephrology and Rheumatology, University Hospital Muenster, 48149 Muenster, Germany.
² Department of Medicine B for Gastroenterology, Hepatology, Endocrinology and Clinical Infectiology, University Hospital Muenster, 48149 Muenster, Germany.
³ Institute of Medical Microbiology, University of Muenster, Domagkstraße 10, 48149 Muenster, Germany.

Abstract

A 52-year-old German female presented with cervical lymphadenopathy and fever. Despite the initial symptom-presentation leading to the consideration of sarcoidosis, lymphoma, tuberculosis, and toxoplasmosis, an extensive serologic and histo- and molecular pathologic workup eventually indicated a likely diagnosis of tularemia. This case brings to light that tularemia is a diagnostic challenge and requires high reliance on the epidemiological context thorough patient history, and an extensive interdisciplinary diagnostic workup.

Keywords: Francisella tularensis; fever of unknown origin; lymphadenopathy; tuberculosis; tularemia.

Publication types

Case Reports

Grants and funding

The APC for this Article was funded by the Open Access Publication Fund of the University of Muenster.