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Cat-Bite Tularemia

Ronald W. Quenzer, MD; Steven R. Mostow, MD; John K. Emerson, DVM
JAMA. 1977;238(17):1845. doi:10.1001/jama.1977.03280180049027.
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TULAREMIA is remarkable for its diverse modes of transmission and variable forms of presentation in humans. Although rabbits and ticks have been the main sources for sporadic cases of human tularemia throughout the United States, more than 100 different animals may transmit the disease. This case is of interest because of the unusual source of the infection.

Report of a Case  On Sept 23, 1976, a 33-year-old surveyor was bitten on the right hand by an 8-week-old domestic kitten that had been raised on his ranch in southwestern Colorado. Four days later, he was admitted to a hospital in Durango, Colo, because of fever, chills, swelling of his right hand, and pain in his right axilla. He had an oral temperature of 38.5 °C, a clean ulcerated wound near the metacarpophalangeal joint of the right index finger, and a tender, enlarged, right axillary lymph node.A WBC count was 9,500/cu


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