The story of tularemia in all its phases has been told by Francis1 and recently by Simpson.2 Attention was first drawn to the human aspect of the disease in the work of Wherry and Lamb3 wherein these workers were able to show bacteriologically the involvement of the etiologic factor in the lesions found in man. So far as we know, aside from mention by Francis4 of five fatal cases terminating in severe meningeal symptoms, no case of meningitis has been shown to be the result of invasion of the spinal canal by Bacterium tularense.
REPORT OF CASE
T. M. P., aged 45, a night watchman, seen, December 19, complained of headache, severe head cold, a sore left thumb, and pain in the left axilla. Examination revealed a painful and swollen lesion of the palmar surface of the left thumb; tender axillary glands; chest, nose and throat