A pregnant woman who had oropharyngeal tularemia underwent treatment with azithromycin and lymph node resection and recovered without obstetrical complication or infection in the child. Azithromycin represents a first-line treatment option for tularemia during pregnancy in regions where the infecting strains of Francisella tularensis have no natural resistance to macrolides.
Keywords: France; Francisella tularensis; antimicrobial resistance; azithromycin; bacteria; macrolides; pregnancy; tularemia; zoonoses.