TULAREMIA AND PREGNANCY: REPORT OF A CASE

Abstract
There is an abundance of literature on tularemia, but there has been no careful study of the disease occurring as a complication of pregnancy. Kavanaugh1presents an excellent review of 123 cases, stating that "three patients contracted tularemia during pregnancy and were delivered of babies during the height of the infection. In one case labor was premature. The disease did not differ from its usual trend." The following case, occurring in midpregnancy, is presented because of the lack of available data on the disease as a complication of the gravid state, its effect on the maternal organism, and the effect on the fetus: REPORT OF CASE Mrs. I. A., a white woman, aged 40, seen in the accident room of the St. Agnes Hospital, Baltimore, Jan. 15, 1935, complained of ulcers on the fingers and a painful swelling on the left arm. She stated that while

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