Should we consider tularemia in travelers returning from North Africa?

We report a rare case of cervical lymphadenopathy tularemia from North Africa in a French immunocompromised traveler returning from Egypt after participating in an outdoor travel involving dromedary camels. The timeline and clinical course support tularemia as a cause of infection in this patient. The diagnosis was confirmed by serology and polymerase chain reaction methods. A concurrent Epstein-Barr virus-infectious mononucleosis complicated the diagnosis of tularemia. Treatment was successful after surgical procedures in addition to two different antimicrobial regimens: doxycycline followed by fluoroquinolones.