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Tularemia. Presented by Dr. F. Amshell
S. G., a man, aged 20, was first seen on Dec. 24, 1927. While dressing rabbits he cut himself on the dorsum of the right middle finger, over the second phalangeal joint, with a spicule of bone. The wound bled, and in a few days became infected. About ten days later, a second area of infection was observed on the ulnar surface of the right palm in the crease caused by the flexion of the fingers. When first seen, the two infected areas on the right hand had healed with resulting smooth cicatrices. There was a large, red, painful gland about the size of a hen's egg in the right axilla. There was no fluctuation on palpation, and the patient was advised to apply hot boric acid dressings constantly. A specimen of blood was sent to the hospital, and it showed agglutination with a
Beinhauer LG. PITTSBURGH DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1928;18(5):775–777. doi:10.1001/archderm.1928.02380170131014
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