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(Chest. 1949;16:103-108.)
© 1949 American College of Chest Physicians

A Case of Fatal Tularemic Pneumonia with Necropsy

J. ANTRIM CRELLIN M.D., F.C.C.P.1; THOMAS F. PUGH M.D.2; and OTTO HENRY JANTON M.D.3

1 Associate Professor of Medicine, Hahnemann Medical College.
2 Lecturer on Medicine, Hahnemann Medical College.
3 Instructor in Medicine, Hahnemann Medical College.

1) About 6 per cent of tularemia are typhoidal, and probably half of these have pulmonary involvement.

2) A case of tularemic pneumonia, diagnosed at autopsy, is described.

3) Early inquiry as to possible wild rabbit or tick contacts should be made in all cases of primary atypical pneumonia.

4) In severe cases of primary atypical pneumonia special laboratory technics should be used in an attempt to demonstrate P. tularense, since agglutination tests may remain negative until the fourth week of the disease.

5) In such severe cases a trial of streptomycin is suggested while search for an etiological agent is in process.






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Copyright © 1949 by the American College of Chest Physicians.