Pediatric Tularemia presenting with a neck mass

An eight-year-old patient admitted with a suspected neck mass who was diagnosed tularemia is presented in this report. The patient\'s family was seasonal agricultural workers in a village of Yozgat province of Turkey. In admission, presenting symptoms were fever and painful neck mass in left cervical region. Tularemia was diagnosed with serologic tests and the lesion well responded to streptomycin. In patients presented with fever and neck mass, tularemia must be kept in mind in differential diagnosis and specific tests should be done especially in patients living or working in rural areas.