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A chef, aged 48, died on the sixteenth day after lacerating a finger with a rabbit bone while removing pickled rabbit from a jar. At autopsy focal lesions were found in the leptomeninges, contiguous brain tissues, ependyma, subependymal tissues and choroid plexus, which were similar to lesions in the liver, spleen and lungs. All of these had the characteristics of tularemic lesions. In addition there was a diffuse acute exudative meningitis. The serum of the patient, taken on the fourteenth day, was reported to agglutinate Bacterium tularense in dilutions not greater than 1:40. This low titer is not considered to
Tularemic Leptomeningitis.. Ann Intern Med. ;5:944–945. doi: 10.7326/0003-4819-5-7-944_4
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Published: Ann Intern Med. 1932;5(7):944-945.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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