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October 19, 1940


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JAMA. 1940;115(16):1360. doi:10.1001/jama.1940.72810420004011c

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This case of ulceroglandular and pulmonary tularemia is reported for several reasons which make it of unusual interest, one of which is the fact that sulfanilamide was administered.

A youth aged 20, a farmer and miner, while hunting, Nov. 1, 1939, shot a chicken hawk which was feeding on a dead rabbit. He picked the hawk up when it was not quite dead and it pecked him on the third finger of the right hand. He did not touch the rabbit. The wound did not bleed. In three days the finger became swollen and a localized abscess was opened by his home physician. A chronic ulcer appeared at this site which in the next two months eventually healed. In January 1940 a swelling appeared in the right axilla which was progressive but never painful; fever was present, a loss of weight from 159 to 127 pounds (72 to 57.6 Kg.)

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