INFREQUENT MANIFESTATIONS OF TULAREMIA IN SWEDEN

Since 1931, when tularaemia,vas first recognized in Sweden, the annual incidence has varied widely. Except for a few cases, ulceroglandular and respiratory tularaemia have been the only forms of the disease obs erved, Here, cases from Sweden of oropharyngeal tularaemia and of tula raemia septicaemia and meningitis, are reviewed, Since the cases occur red outside manifest outbreaks, diagnostic difficulties mere encounter ed and the diagnosis was reached more by chance than due to clinical s uspicion. Possibly, cryptic cases of tularaemia may be more frequent t han what appears from clinical reports.