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Serological testing remained negative. This case illustrates the extent to which pneumonic tularemia can mimic pulmonary tuberculosis and illustrates the limitations of serology in immunocompromised individuals. Clinicians should consider tularemia in the differential diagnosis of pulmonary disease with necrotizing lymphadenopathy, even in regions where the incidence is low.<\/jats:p>","DOI":"10.1155\/crdi\/6697292","type":"journal-article","created":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T10:04:26Z","timestamp":1782641066000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Not Tuberculosis After All: The \u201cHare\u2010Raising Case\u201d of Tularemia in a Patient With Advanced HIV Infection"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8113-5649","authenticated-orcid":false,"given":"J. 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