In the typical case of tularemia there is an ulcer on the surface of the body or an inflammation of the conjunctiva, lesions which indicate the point of entry of the infecting organism. In a rare case such usual superficial lesions are absent and the exact method of dissemination remains obscure. The present report is concerned with a case in which the preponderance of evidence indicates that Bacterium tularense entered through the mucosa of the pharynx.
REPORT OF A CASE
The patient, a 7 year old white boy who lived in a rural Illinois community, entered the St. Louis Children's Hospital on Dec. 1, 1939. The present illness had begun three days previously, when he complained of fever, sore throat and pain i[ill] his head and back. At the time of entry to the hospital, no family or personal history of significance was obtained except that for several years the