Tularemia is a zoonotic disease caused by that can be transmitted to humans when they handle rabbits, receive tick bites, consume contaminated water, or inhale aerosolized particles. We present the case of a 51-year-old white man with rheumatoid arthritis who was taking immunosuppressive medications and presented with tularemia. Our patient acquired the typhoidal form of tularemia, which is a severe systemic illness that manifests with fevers, headaches, myalgias, vomiting, diarrhea, and neurological symptoms, due to his immunocompromised state. The diagnosis was made through biopsy of a pulmonary nodule found incidentally on computed tomography scan.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349818 | PMC |
| http://dx.doi.org/10.1080/08998280.2017.11929573 | DOI Listing |
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