Febrile states associated with lymphadenopathy are relatively frequent in childhood. The most frequent causes include infection of viral or bacterial origin; adequate therapy results in remission and lymphadenopathy regression.
One of the less usual and more complicated causes of these symptoms is tularaemia. The disease affects mainly adults; children suffer from it infrequently, infants quite rarely.
Tularaemia in an infant has not been described in the Czech Republic so far; even in the world literature there have been only a few sporadic cases. The authors present their experience with the treatment of tularaemia in an infant admitted to the University Hospital Motol, Prague in 2006.
The case report is accompanied with a comprehensive overview on this disease.