Abstract
An 89-year-old female initially presented to outpatient clinic for systemic symptoms of high-grade fever, malaise and unintentional weight loss along with a rash that was presumed to be non-purulent cellulitis. After several courses of antibiotics, the patient's symptoms worsened and was eventually hospitalized. Blood cultures resulted positive for Francisella tularensis . After more history taking the patient noted that she was bit by a tick during a camping trip that resulted with the initial rash.