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Clinical Pediatrics, Vol. 24, No. 9, 520-522 (1985)
DOI: 10.1177/000992288502400909

Oculoglandular Syndrome Caused by Francisella tularensis

Scott A. Halperin

Department of Pediatrics, Division of Infectious Disease, Box 296 Mayo Memorial Building, 420 Delaware Street S.E., Minneapolis, MN 55455

Thomas Gast

From the Division of Infectious Diseases, Department of Pediatrics, Department of Ophthalmology, Clinical Microbiology Laboratory, Department of Laboratory Medicine and Pathology, University of Minnesota Hospitals, Min- neapolis, Minnesota.

Patricia Ferrieri

From the Division of Infectious Diseases, Department of Pediatrics, Department of Ophthalmology, Clinical Microbiology Laboratory, Department of Laboratory Medicine and Pathology, University of Minnesota Hospitals, Min- neapolis, Minnesota.

Oculoglandular syndrome developed in a 9-year-old boy with a recent history of tick bites and minor eye trauma. Francisella tularensis was isolated on chemically supplemented chocolate agar from a swab of a conjunctival ulcer and an aspirate of a preauricular lymph node, confirming the diagnosis of tularemia. In addition, a rise in agglutination titer to the pathogen was detected in paired sera. The differential diagnosis of oculoglandular syndrome is discussed, with emphasis on the clinical characteristics which led to the diagnosis of tularemia.


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