Tularemia: primary lesion and regional adenopathy A crusted ulcer at the site of inoculation is seen on the dorsum of the left ring finger with associated.

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Tularemia: primary lesion and regional adenopathy A crusted ulcer at the site of inoculation is seen on the dorsum of the left ring finger with associated axillary lymph node enlargement (chancriform syndrome). The infection occurred after the patient killed and skinned a rabbit. Source: BACTERIAL COLONIZATIONS AND INFECTIONS OF SKIN AND SOFT TISSUES, Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology, 8e Citation: Wolff K, Johnson R, Saavedra AP, Roh EK. Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology, 8e; 2017 Available at: https://accessemergencymedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/2043/wolff8_ch25_f063_a.png&sec=154894284&BookID=2043&ChapterSecID=154893879&imagename= Accessed: November 14, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved