Case 211. Tularemia (35 y-o M)

　 　 　 　
　 Biopsied supraclavicular lymph node in an animal seller, presenting high fever and fistule-forming nodal swelling 　
　 　 　 　

　

 　 Higher power view of suppurative granuloma (HE). It is difficult to identify pathogens within the lesion. The pathogens are transmitted by rabbit, squirrel, rat or tick. Transmission through aerosol may occur in the laboratory, so that F. tularensis is nominated as a bioterrorist.