{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T22:23:12Z","timestamp":1757629392015,"version":"3.44.0"},"reference-count":3,"publisher":"Danish Medical Association","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ugeskr L\u00e6ger"],"abstract":"<jats:p>Tularaemia caused by Francisella tularensis is a zoonosis, and we report two cases of tularaemia. The first patient presented with lymphadenopathy in the left groin, fever, and night sweats four weeks after a tick bite. The second patient presented with fever and a primary ulcer on the thigh and developed secondary pneumonia a few weeks after multiple mosquito bites. These cases illustrate classic manifestations often misinterpreted as other infections, and the importance of thorough medical history including recent exposures, especially in cases with infection of unknown origin.<\/jats:p>","DOI":"10.61409\/v11240809","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T05:22:41Z","timestamp":1747977761000},"page":"1-3","source":"Crossref","is-referenced-by-count":0,"title":["Tularaemia is often underdiagnosed"],"prefix":"10.61409","author":[{"given":"Camilla","family":"Foged","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Thorsteinsson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helene","family":"Mens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Helleberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne-Mette","family":"Lebech","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"40208","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Nelson CA, Winberg J, Bostic TD et al. Systematic review: clinical features, antimicrobial treatment, and outcomes of human tularemia, 1993-2023. Clin Infect Dis. 2024;78(suppl 1):S15-S28. https:\/\/doi.org\/10.1093\/cid\/ciad736","DOI":"10.1093\/cid\/ciad736"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Plymoth M, Lundqvist R, Nystedt A et al. Targeting tularemia: clinical, laboratory, and treatment outcomes from an 11-year retrospective observational cohort in Northern Sweden. Clin Infect Dis. 2024;78(5):1222-1231. https:\/\/doi.org\/10.1093\/cid\/ciae098","DOI":"10.1093\/cid\/ciae098"},{"key":"ref2","unstructured":"European Centre for Disease Prevention and Control. Tularaemia - Annual Epidemiological Report for 2019. European Centre for Disease Prevention and Control, 2021. www.ecdc.europa.eu\/en\/publications-data\/tularaemia-annual-epidemiological-report-2019 (3. nov 2024)"}],"container-title":["Ugeskrift for L\u00e6ger"],"original-title":[],"deposited":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T14:14:02Z","timestamp":1757513642000},"score":1,"resource":{"primary":{"URL":"https:\/\/ugeskriftet.dk\/videnskab\/V11240809"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,19]]},"references-count":3,"URL":"https:\/\/doi.org\/10.61409\/v11240809","relation":{},"ISSN":["0041-5782","1603-6824"],"issn-type":[{"type":"print","value":"0041-5782"},{"type":"electronic","value":"1603-6824"}],"subject":[],"published":{"date-parts":[[2025,5,19]]}}}