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Tularemia. Presented by Dr. W. H. Guy and Dr. F. M. Jacob.
A colored man, aged 46, presented a series of nodules extending from the right wrist to the axilla. At the elbow an open wound marked the site of an incised fluctuating mass. While working in a market on Nov. 5, 1930, he cut the last phalanx of the middle finger of the right hand on a bottle, and the next day he cleaned rabbits. One week later he became acutely ill with chills, fever and prostration, being treated by his family physician for blood poisoning over a period of five weeks. He appeared at the university clinic at the end of the ninth week, at which time the temperature was 99.2 F. A large soft mass at the bend of the elbow was drained, and a small nodule was removed, which showed a histologic picture and areas of
Fiscus JH, Willard L. PITTSBURGH DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1931;24(5):900–907. doi:10.1001/archderm.1931.01450010912018
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