JOURNAL OF THE CZECH PEDIATRIC SOCIETY AND THE SLOVAK PEDIATRIC SOCIETY

Čes-slov Pediat 2023, 78(88):24-29 | DOI: 10.55095/CSPediatrie2023/029

Tularemia - case seriesCase Histories

Lea Slováková1, Zuzana Jendrálová1, Michaela Čepelová3, Soňa Cyprová3, Markéta Bloomfield1, 2
1 Pediatrická klinika, 1. lékařská fakulta Univerzity Karlovy, Fakultní Thomayerova nemocnice, Praha
2 Ústav imunologie, 2. lékařská fakulta Univerzity Karlovy, FN Motol, Praha
3 Klinika dětské hematologie a onkologie, 2. lékařská fakulta Univerzity Karlovy, FN Motol, Praha

Lymphadenopathy is a common symptom in

children, yet sometimes it may represent a differential diagnostic pitfall. Tularemia is one of the rare causes of lymphadenopathy in childhood. A clinical suspicion should arise in cases with history of insect bite or animal contact, granulomatous inflammation in biopsy specimen, negative culture results, and/or in cases which fail to respond to first-line antibiotics. Hereby, three cases of

children with unexplained lymphadenopathy are presented, highlighting the practical aspects and issues potentially associated with the diagnosis and management of tularemia.

Keywords: children, Francisella tularensis, lymfadenopathy, serology, tularemia, ulceroglandular form

Accepted: June 22, 2023; Published: June 23, 2023  Show citation

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Slováková L, Jendrálová Z, Čepelová M, Cyprová S, Bloomfield M. Tularemia - case series. Ces-slov Pediat. 2023;78(Suppl.1):24-29. doi: 10.55095/CSPediatrie2023/029.
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