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Tularemia can be seen in different clinical pictures in endemic regions. A women who came with a complaint of sore throat, fever (380 C) and subsequent weight loss, unceasing cough, and complaints continuing for 2 months. In the blood samples, leukocytosis 12.500/mm3 hemoglobin 9.9 g/dl, sedimentation rate 103 mm/hour, level of C-reactive protein 109 mg/l, alanine aminotransferase 61 i.u and aspartate aminotransferase 54 i.u were determined. The patient did not improve despite the ampicillin treatment. Hilar lymphadenomegaly, lobular and nodular involvement were seen on the X-ray chest and a mass was confirmed by bronchoscopy. It was noticed that the patient developed his complaints after working in the potato field while considering lung cancer radiologically. In the serology when the tularemia antibody test was positive at 1/1280, it was thought that the case would be secondary pulmonary pneumonia. The patient recovered completely with the triple antibiotic treatment (streptomycin, doxycycline and ciprofloxacin) given. Pulmonary involvement, a rare form of tularemia, can be confused with lung cancer in endemic areas. The case was presented and pneumonic tularemia was reviewed with the literature.
Tularemia can be seen in different clinical pictures in endemic regions. A women who came with a complaint of sore throat, fever (380 C) and subsequent weight loss, unceasing cough, and complaints continuing for 2 months. In the blood samples, leukocytosis 12.500/mm3 hemoglobin 9.9 g/dl, sedimentation rate 103 mm/h, level of C-reactive protein 109 mg/l, alanine aminotransferase 61 i.u and aspartate aminotransferase 54 i.u were determined. The patient did not improve despite the ampicillin treatment. Hilar lymphadenomegaly, lobular and nodular involvement were seen on the X-ray chest and a mass was confirmed by bronchoscopy. It was noticed that the patient developed his complaints after working in the potato field while considering lung cancer radiologically. In the serology when the tularemia antibody test was positive at 1/1280, it was thought that the case would be secondary lung pneumonia. The patient recovered completely with the triple antibiotic treatment (streptomycin, doxycycline and ciprofloxacin) given. Pulmonary involvement, a rare form of tularemia, can be confused with lung cancer in endemic areas. The case was presented and pneumonic tularemia was reviewed with the literature.
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