Difficulty in the Clinical Diagnosis of Tularemia: Highlighting the Importance of a Physical Exam

We report an 18-month-old male who presented with fever and nonspecific symptoms. He was evaluated for multiple differential diagnoses including Kawasaki disease and JIA and received treatment for them. After he was readmitted, tularemia was considered based on the physical exam finding of an ulcer...

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Autores principales: Kumar, Rupin, Mansour, Mohamed, Brunetto, Jacqueline, Verma, Renuka, Fisher, Margaret, Teitelbaum, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852861/
https://www.ncbi.nlm.nih.gov/pubmed/29686920
http://dx.doi.org/10.1155/2018/9682815
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author Kumar, Rupin
Mansour, Mohamed
Brunetto, Jacqueline
Verma, Renuka
Fisher, Margaret
Teitelbaum, Jonathan
author_facet Kumar, Rupin
Mansour, Mohamed
Brunetto, Jacqueline
Verma, Renuka
Fisher, Margaret
Teitelbaum, Jonathan
author_sort Kumar, Rupin
collection PubMed
description We report an 18-month-old male who presented with fever and nonspecific symptoms. He was evaluated for multiple differential diagnoses including Kawasaki disease and JIA and received treatment for them. After he was readmitted, tularemia was considered based on the physical exam finding of an ulcer on the scalp and enlarged lymph nodes. Tularemia titers were positive, and the patient was given the appropriate antibiotic and was discharged home. Follow-up of the patient showed complete resolution of symptoms. This is a case that demonstrates the importance of physical exam in identifying rare diseases presenting with common signs and symptoms.
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spelling pubmed-58528612018-04-23 Difficulty in the Clinical Diagnosis of Tularemia: Highlighting the Importance of a Physical Exam Kumar, Rupin Mansour, Mohamed Brunetto, Jacqueline Verma, Renuka Fisher, Margaret Teitelbaum, Jonathan Case Rep Pediatr Case Report We report an 18-month-old male who presented with fever and nonspecific symptoms. He was evaluated for multiple differential diagnoses including Kawasaki disease and JIA and received treatment for them. After he was readmitted, tularemia was considered based on the physical exam finding of an ulcer on the scalp and enlarged lymph nodes. Tularemia titers were positive, and the patient was given the appropriate antibiotic and was discharged home. Follow-up of the patient showed complete resolution of symptoms. This is a case that demonstrates the importance of physical exam in identifying rare diseases presenting with common signs and symptoms. Hindawi 2018-03-01 /pmc/articles/PMC5852861/ /pubmed/29686920 http://dx.doi.org/10.1155/2018/9682815 Text en Copyright © 2018 Rupin Kumar et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kumar, Rupin
Mansour, Mohamed
Brunetto, Jacqueline
Verma, Renuka
Fisher, Margaret
Teitelbaum, Jonathan
Difficulty in the Clinical Diagnosis of Tularemia: Highlighting the Importance of a Physical Exam
title Difficulty in the Clinical Diagnosis of Tularemia: Highlighting the Importance of a Physical Exam
title_full Difficulty in the Clinical Diagnosis of Tularemia: Highlighting the Importance of a Physical Exam
title_fullStr Difficulty in the Clinical Diagnosis of Tularemia: Highlighting the Importance of a Physical Exam
title_full_unstemmed Difficulty in the Clinical Diagnosis of Tularemia: Highlighting the Importance of a Physical Exam
title_short Difficulty in the Clinical Diagnosis of Tularemia: Highlighting the Importance of a Physical Exam
title_sort difficulty in the clinical diagnosis of tularemia: highlighting the importance of a physical exam
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852861/
https://www.ncbi.nlm.nih.gov/pubmed/29686920
http://dx.doi.org/10.1155/2018/9682815
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