“…Use of gentamicin, ciprofloxacin, and doxycycline is not associated with increased risk for birth defects, stillbirth, premature birth, or low birth weight (12,13). A previous case indicated that during pregnancy, dacryocystitis and abscess on the neck with pharyngitis did not affect the pregnancy outcome after surgical and antimicrobial treatment (15). The gradient of symptoms and clinical manifestations of tularemia in pregnant women differ and depend on the mode of transmission of the infection, the amount and virulence of the pathogen, and the host immunity.…”