We report a case of oropharyngeal tularemia--an uncommon manifestation of this disease. There is a low prevalence of tularemia in Germany. Therefore the diagnosis can be confirmed only by well directed laboratory diagnostics. Without correct antibiotic therapy mortality can reach 33%--depending on the subspecies of Francisella tularensis. For this reason tularemia should be included into the differential-diagnostic considerations in patients with unclear lymph node enlargement.

No abstract