Glandular Tularemia- ...The patient’s physical examination revealed three erythematous, tender lymph nodes...Serologic testing with IgM antibody was positive for Francisella tularensis (titer, 1:1280). A diagnosis of glandular tularemia was made. Glandular tularemia is the second most common manifestation of tularemia after the ulceroglandular form. Because culture requires biosafety level 3 conditions, diagnosis is often confirmed serologically. Domestic cats can become infected through the consumption of infected prey and can transmit the bacteria to humans. #NEJM #clinical #photo #lymph #Francisella #tularensis #glandular #tularemia