{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T23:01:12Z","timestamp":1791068472368,"version":"4.1.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2012,6,6]],"date-time":"2012-06-06T00:00:00Z","timestamp":1338940800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Surg Pathol"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:p>This article reports on a 62-year-old man, who presented with cervical mass and rather nonspecific symptoms. The medical history and clinical workup initially favored a malignant disease such as a carcinoma of unknown primary as the underlying cause. Eventually, the patient was diagnosed with a granulomatous lymphadenitis caused by Francisella tularensis subsp holarctica. Tularemia is a rare disease in Western Europe and can present in multiple ways encompassing almost asymptomatic infections and fatal disease. A rapid diagnosis is often hampered by nonspecific symptoms and the generally low prevalence and incidence of this disease in endemic countries. This case report also provides a comprehensive review of the literature on cervical tularemia and discusses the differential diagnoses.<\/jats:p>","DOI":"10.1177\/1066896912448424","type":"journal-article","created":{"date-parts":[[2012,6,6]],"date-time":"2012-06-06T20:52:15Z","timestamp":1339015935000},"page":"76-81","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Unmasked"],"prefix":"10.1177","volume":"21","author":[{"given":"Olcay Cem","family":"Bulut","sequence":"first","affiliation":[{"name":"University Hospital Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Dyckhoff","sequence":"additional","affiliation":[{"name":"University Hospital Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolf","family":"Splettstoesser","sequence":"additional","affiliation":[{"name":"Bundeswehr Institute of Microbiology, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Nemeth","sequence":"additional","affiliation":[{"name":"University Hospital Zurich, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick","family":"Klauschen","sequence":"additional","affiliation":[{"name":"Charit\u00e9 University Medicine Berlin, Campus Mitte, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Penzel","sequence":"additional","affiliation":[{"name":"University Hospital Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter K.","family":"Plinkert","sequence":"additional","affiliation":[{"name":"University Hospital Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Simon","sequence":"additional","affiliation":[{"name":"University Hospital Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilko","family":"Weichert","sequence":"additional","affiliation":[{"name":"University Hospital Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albrecht","family":"Stenzinger","sequence":"additional","affiliation":[{"name":"University Hospital Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,6,6]]},"reference":[{"key":"bibr1-1066896912448424","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2011.00086"},{"key":"bibr2-1066896912448424","volume-title":"WHO Guidelines on Tularaemia","author":"Word Health Organization","year":"2007"},{"key":"bibr3-1066896912448424","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268808001192"},{"key":"bibr4-1066896912448424","doi-asserted-by":"publisher","DOI":"10.1128\/AEM.56.4.949-955.1990"},{"key":"bibr5-1066896912448424","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.41.7.2924-2931.2003"},{"key":"bibr6-1066896912448424","doi-asserted-by":"crossref","DOI":"10.55418\/9781933477060","volume-title":"Benign and Reactive Conditions of the Lymph Node and Spleen","volume":"7","author":"O\u2019Malley DP","year":"2009"},{"key":"bibr7-1066896912448424","doi-asserted-by":"publisher","DOI":"10.1111\/j.1439-0450.2005.00863.x"},{"key":"bibr8-1066896912448424","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1409.009"},{"key":"bibr9-1066896912448424","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa011374"},{"key":"bibr10-1066896912448424","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-009-8193-5"},{"key":"bibr11-1066896912448424","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-8-157"},{"key":"bibr12-1066896912448424","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir612"}],"container-title":["International Journal of Surgical Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1066896912448424","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1066896912448424","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1066896912448424","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:19:19Z","timestamp":1777457959000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1066896912448424"}},"subtitle":["When a Clinically Malignant Disease Turns Out Infectious. A Rare Case of Tularemia"],"short-title":[],"issued":{"date-parts":[[2012,6,6]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["10.1177\/1066896912448424"],"URL":"https:\/\/doi.org\/10.1177\/1066896912448424","relation":{},"ISSN":["1066-8969","1940-2465"],"issn-type":[{"value":"1066-8969","type":"print"},{"value":"1940-2465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,6,6]]}}}