Tularemia in children

Abstract

Among patients with tularemia in Russia, children make up 15%. In the available literature, the description of tularemia in children is practically not found. The article provides two clinical examples of tularemia in children of different ages.A child aged 2 years with an ulcero-glandular form had a primary affect, febrile fever for a week, regional lymphadenitis, inflammatory changes in the general blood test. The second child at the age of 8 years with a glandular form had a painful increase in the inguinal lymph node to the right, up to 4 cm without primary affect, febrile fever during the week. The diagnosis of tularemia was confirmed in both cases serologically in the agglutination test on the 19th and 6th days of the disease, respectively.The diagnosis of tularemia caused difficulties for doctors of different specialties (pediatrician, surgeon), which did not allow for the timely appointment of treatment. Etiotropic drug was amikacin.

Keywords

• tularemia
• children
• lymphadenitis