Mackowiak, Philip A.
April 2004
Clinical Infectious Diseases;4/15/2004, Vol. 38 Issue 8, p1186
Academic Journal
nitial serological test results were positive for Francisella tularensis antibodies, at a titer of 1:640, 4 weeks after the onset of symptoms. F. tularensis is a fastidious gram-negative coccobacillus that grows best on supplemented media, such as cysteine-glucose blood agar it does not grow on routine sheep blood agar but may be recovered on chocolate agar, which may lead to a misidentification as Haemophilus species, as in this case. Tularemia typically presents with a cutaneous ulcer and local lymphadenopathy, ulceroglandular tularemia.


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