{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:13:33Z","timestamp":1753877613659,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004166","name":"Medical University of Warsaw","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Tularemia is a disease caused by Francisella tularensis\u2014gram-negative coccobacillus. The ulceroglandular type characterized by skin ulcers and painful regional adenopathy is recognized as the most common.<\/jats:p>\n               <jats:p>A 1-year-old patient was admitted with severe normocytic anemia, high fever and hepatosplenomegaly. A nonspecific lesion in the axillary region with a homogenous nodal reaction was found, combined with a history of a tick-bite in the pectoral muscle. Primary differentiation included leukemia, lymphoma, mononucleosis, borrelial lymphoma and simple abscess. All of the above were excluded. A further search for diagnosis focused on tick-borne diseases: TIBOLa or anaplasmosis. The ulceroglandular tularemia was eventually confirmed serologically.<\/jats:p>\n               <jats:p>Besides the fact that tularemia is a rare diagnosis nowadays, it is still necessary to include this disease in the differentiation of a nonresolving tick-bite abscess with lymphadenopathy. Diagnostic vigilance is the key to effective treatment because other obvious symptoms such as severe anemia might delay the diagnosis.<\/jats:p>","DOI":"10.1093\/omcr\/omab086","type":"journal-article","created":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T10:59:51Z","timestamp":1631530791000},"source":"Crossref","is-referenced-by-count":1,"title":["\u2018Unique does not mean impossible: infant presenting with complicated course of ulceroglandular tularemia.\u2019"],"prefix":"10.1093","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3105-6547","authenticated-orcid":false,"given":"Karolina","family":"Mi\u0105cz","sequence":"first","affiliation":[{"name":"Medical University of Warsaw, \u201cSpherocyte\u201d Student\u2019s Scientific Association, Department of Pediatric Hematology and Oncology, Clinical Transplantology and Pediatrics, 63 A \u017bwirki i Wigury Avenue, 02-091 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6618-4808","authenticated-orcid":false,"given":"Jakub","family":"\u015aled\u017a","sequence":"additional","affiliation":[{"name":"Medical University of Warsaw, \u201cSpherocyte\u201d Student\u2019s Scientific Association, Department of Pediatric Hematology and Oncology, Clinical Transplantology and Pediatrics, 63 A \u017bwirki i Wigury Avenue, 02-091 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9034-0399","authenticated-orcid":false,"given":"Marek W","family":"Karwacki","sequence":"additional","affiliation":[{"name":"Medical University of Warsaw, Department of Pediatric Hematology and Oncology, Clinical Transplantology and Pediatrics, , 63 A \u017bwirki i Wigury Avenue, 02-091 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,9,13]]},"reference":[{"key":"2021091310552946600_ref1","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1007\/s12223-016-0461-z","article-title":"Tularemia vaccines","volume":"61","author":"Putzova","year":"2016","journal-title":"Folia Microbiol (Praha)"},{"key":"2021091310552946600_ref2","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1016\/j.ttbdis.2016.07.016","article-title":"Cluster of ulceroglandular tularemia cases in Slovenia","volume":"7","author":"Rojko","year":"2016","journal-title":"Ticks Tick Borne Dis"},{"key":"2021091310552946600_ref3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s12223-020-00827-z","article-title":"Tularemia: a re-emerging tick-borne infectious disease","volume":"66","author":"Yeni","year":"2021","journal-title":"Folia 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cases","volume":"21","author":"\u00d8rb\u00e6k","year":"2020","journal-title":"IDCases"},{"key":"2021091310552946600_ref8","first-page":"e288","article-title":"Transient erythroblastopenia of childhood is an underdiagnosed and self-limiting disease","volume":"103","author":"Akker","year":"2014","journal-title":"Acta Paediatr"},{"key":"2021091310552946600_ref9","doi-asserted-by":"crossref","first-page":"512090","DOI":"10.3389\/fcimb.2020.512090","article-title":"Francisella tularensis, Tularemia and serological diagnosis","volume":"10","author":"Maurin","year":"2020","journal-title":"Front Cell Infect Microbiol"},{"volume-title":"WHO Guidelines on Tularaemia","year":"2007","author":"World Health O","key":"2021091310552946600_ref10"}],"container-title":["Oxford Medical Case 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