Speert D P, Britt W J, Kaplan E L
Clin Pediatr (Phila). 1979 Apr;18(4):239-41. doi: 10.1177/000992287901800408.
In a patient with suppurative lymphadenitis who fails to respond to antibiotics routinely used for pyogenic adenitis, the diagnosis of tularemia should be considered if there is good evidence for recent tick or other insect exposure. A trial of streptomycin therapy may be indicated, pending culture and serology results, in any patient whose signs and symptoms strongly suggest this diagnosis.
对于患有化脓性淋巴结炎且对常用于脓性腺炎的抗生素无反应的患者，如果有充分证据表明近期有蜱虫或其他昆虫接触史，则应考虑兔热病的诊断。对于任何体征和症状强烈提示该诊断的患者，在等待培养和血清学结果期间，可考虑试用链霉素治疗。
