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Tularæmi hos to patienter henvist på mistanke om cancer mammae og cancer occulta

Forfatter(e)

Louise Dommergaard1, Linda Katharina Karlsson2 & Suzanne Lunding2

1) Brystkirurgisk Afdeling, Herlev Hospital, 2) Medicinsk Afdeling, Herlev Hospital

Ugeskr Læger 2020;182:V03200170

Reference: 
Ugeskr Læger 2020;182:V03200170
Blad nummer: 
Tularaemia in two patients referred on suspicion of cancer mammae and cancer occulta

Louise Dommergaard, Linda Katharina Karlsson & Suzanne Lunding

Ugeskr Læger 2020;182:V03200170

Tularaemia (rabbit fever) is a rare infection caused by Francisella tularensis, which can be transmitted from hares and rats to humans by ticks. We present two case reports of patients with tularaemia. Both were initially referred on suspicion of cancer. A 52-year-old woman, who had had a prior tick bite, was referred on suspicion of breast cancer, and a 28-year-old man was referred on suspicion of occult cancer because of fever and lymphadenopathy in the groin. Tularaemia should be considered as a differential diagnosis in cases of unexplained fever and regional lymphadenopathy, especially in patients with a history of tick bites.

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