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Volume 31, Number 12—December 2025

Dispatch

Case of Congenital Tularemia with Neuroinvasive Disease, Utah, USA

Brent D. NelsonComments to Author , Amara Finch, Krow Ampofo, Elizabeth L. Ryals, Andrew T. Pavia, Anne J. Blaschke, Jody L. Lin, Benjamin Kalm, Julian A. Villalba, Julu Bhatnagar, Bert Lopansri, and Elizabeth D. Knackstedt
Author affiliation: University of Utah School of Medicine, Salt Lake City, Utah, USA (B.D. Nelson, A. Finch, K. Ampofo, A.T. Pavia, A.J. Blaschke, J.L. Lin, B. Kalm, B. Lopansri, E.D. Knackstedt); Primary Children’s Hospital, Salt Lake City (E.L. Ryals); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (J.A. Villalba, J. Bhatnagar); Intermountain Medical Center, Murray, Utah, USA (B. Lopansri)

Main Article

Figure 1

Imaging from infant and mother in case of congenital tularemia with neuroinvasive disease, Utah, USA. A, B) Axial T1 post-contrast images showing the infant’s initial magnetic resonance imaging findings of rim enhancing lesions near the left subthalamic nucleus and right inferior thalamus (arrows, panel A), as well as a punctate enhancing lesion in the left parietal lobe (arrow, panel B). C) Axial T2 image demonstrating T2 hyperintense edema along the margins of the largest lesion near the left subthalamic nucleus (arrow). D, E) Axial (D) and coronal (E) images from the mother’s computed tomography scan with intravenous contrast showing an enlarged, heterogeneous right cervical chain lymph node with inflammatory stranding in the adjacent soft tissues (arrows).

Figure 1. Imaging from infant and mother in case of congenital tularemia with neuroinvasive disease, Utah, USA. A, B) Axial T1 post-contrast images showing the infant’s initial magnetic resonance imaging findings of rim enhancing lesions near the left subthalamic nucleus and right inferior thalamus (arrows, panel A), as well as a punctate enhancing lesion in the left parietal lobe (arrow, panel B). C) Axial T2 image demonstrating T2 hyperintense edema along the margins of the largest lesion near the left subthalamic nucleus (arrow). D, E) Axial (D) and coronal (E) images from the mother’s computed tomography scan with intravenous contrast showing an enlarged, heterogeneous right cervical chain lymph node with inflammatory stranding in the adjacent soft tissues (arrows).

Main Article

Page created: November 18, 2025
Page updated: December 12, 2025
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