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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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2018/9682815 |
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| _version_ | 1849306212811669504 |
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| author | Rupin Kumar Mohamed Mansour Jacqueline Brunetto Renuka Verma Margaret Fisher Jonathan Teitelbaum |
| author_facet | Rupin Kumar Mohamed Mansour Jacqueline Brunetto Renuka Verma Margaret Fisher Jonathan Teitelbaum |
| author_sort | Rupin Kumar |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-391a8a0f902b4012a3496f6393e8a225 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-391a8a0f902b4012a3496f6393e8a2252025-08-20T03:55:11ZengWileyCase Reports in Pediatrics2090-68032090-68112018-01-01201810.1155/2018/96828159682815Difficulty in the Clinical Diagnosis of Tularemia: Highlighting the Importance of a Physical ExamRupin Kumar0Mohamed Mansour1Jacqueline Brunetto2Renuka Verma3Margaret Fisher4Jonathan Teitelbaum5Department of Pediatrics, The Unterberg Children’s Hospital at Monmouth Medical Center, Long Branch, NJ, USADepartment of Pediatrics, The Unterberg Children’s Hospital at Monmouth Medical Center, Long Branch, NJ, USADepartment of Pediatrics, The Unterberg Children’s Hospital at Monmouth Medical Center, Long Branch, NJ, USADepartment of Pediatrics, The Unterberg Children’s Hospital at Monmouth Medical Center, Long Branch, NJ, USADepartment of Pediatrics, The Unterberg Children’s Hospital at Monmouth Medical Center, Long Branch, NJ, USADepartment of Pediatrics, The Unterberg Children’s Hospital at Monmouth Medical Center, Long Branch, NJ, USAWe 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.http://dx.doi.org/10.1155/2018/9682815 |
| spellingShingle | Rupin Kumar Mohamed Mansour Jacqueline Brunetto Renuka Verma Margaret Fisher Jonathan Teitelbaum Difficulty in the Clinical Diagnosis of Tularemia: Highlighting the Importance of a Physical Exam Case Reports in Pediatrics |
| 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 |
| url | http://dx.doi.org/10.1155/2018/9682815 |
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