Relative bradycardia in tularemia: An overlooked bedside clue

Zaghdoudi et al. recently underscored the diagnostic challenges posed by tularemia, a difficulty that reflects the infection’s diverse reservoirs, vectors, ecological settings, and clinical phenotypes [1]. Although the authors detailed clinical, radiologic, and serological findings, pulse–temperature correlation was not reported. Given the frequency of relative bradycardia in tularemia, documenting this sign in future case series may aid diagnostic accuracy. We therefore highlight the potential diagnostic value of the Faget sign, also known as pulse–temperature dissociation.