A 5-year-old develops fevers and painful abdominal swelling after a tick bite. Explore this case of a rare bacterial infection and its classic presentation.
A 5-year-old girl presented with a 4-week history of painful swelling on both sides of her lower abdomen. Six weeks before presentation, her parents removed a tick they found buried in her umbilicus. Five days after this she developed fevers. What is the diagnosis?
What is the most likely diagnosis?
Francisella tularensis, Tick Bite, Tularemia, Ulceroglandular, Zoonosis