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March 1929


Author Affiliations


From the Department of Dermatology, University of California Medical School.

Arch Derm Syphilol. 1929;19(3):378-390. doi:10.1001/archderm.1929.02380210033003

The pioneer work1 on the epidemiology of tularemia was carried out in California, and the causative organism was named2 after one of the counties of the state. Infected rodents3 have been found in many districts, but the literature does not contain the report of a single case in a person from California, with the exception of cases resulting from laboratory infections. We became interested in tularemia when we encountered a case referred to us from the neighboring state of Nevada. The occurrence of the primary lesion on the skin and the associated cutaneous eruptions are of sufficient importance to warrant including tularemia in dermatologic literature and textbooks.


History.—  A well developed Spaniard, aged 39, reported to us on Aug. 16, 1927, complaining of general malaise and a sore on the left side of the neck posteriorly, with an associated enlargement of the adjacent lymph

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