Difficulty in the Clinical Diagnosis of Tularemia: Highlighting the Importance of a Physical Exam
| Autor: | Margaret C. Fisher, Jonathan E. Teitelbaum, Mohamed Mansour, Renuka Verma, Rupin Kumar, Jacqueline Brunetto |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry lcsh:RJ1-570 lcsh:Pediatrics Signs and symptoms Case Report General Medicine medicine.disease Complete resolution Tularemia 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Clinical diagnosis Scalp Medicine 030211 gastroenterology & hepatology Kawasaki disease Physical exam 030212 general & internal medicine Medical diagnosis business |
| Zdroj: | Case Reports in Pediatrics Case Reports in Pediatrics, Vol 2018 (2018) |
| ISSN: | 2090-6811 2090-6803 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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