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Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male

Tularemia is a rare zoonotic disease caused by the two predominant subspecies of Francisella tularensis, namely subspecies tularensis and subspecies holarctica. The latter is less virulent than the former, is endemic in Europe, and usually has a mild disease course, although respiratory involvement...

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Autores principales: Schepens, Niels, Verniest, Thessa, Verstreken, Isabel, Henckaerts, Liesbet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10275714/
https://www.ncbi.nlm.nih.gov/pubmed/37334032
http://dx.doi.org/10.1016/j.rmcr.2023.101882
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author Schepens, Niels
Verniest, Thessa
Verstreken, Isabel
Henckaerts, Liesbet
author_facet Schepens, Niels
Verniest, Thessa
Verstreken, Isabel
Henckaerts, Liesbet
author_sort Schepens, Niels
collection PubMed
description Tularemia is a rare zoonotic disease caused by the two predominant subspecies of Francisella tularensis, namely subspecies tularensis and subspecies holarctica. The latter is less virulent than the former, is endemic in Europe, and usually has a mild disease course, although respiratory involvement and bacteraemia can occur. Tularemia in Belgium is rare, but the incidence seems to be increasing. It therefore seems prudent to raise awareness among clinicians for this potentially severe disease. We report the first case of pneumonic tularemia with bacteraemia from Belgium, and want to recommend including Francisella tularensis in the differential diagnosis of pneumonia when an unfavorable evolution is seen with standard treatment.
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spelling pubmed-102757142023-06-18 Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male Schepens, Niels Verniest, Thessa Verstreken, Isabel Henckaerts, Liesbet Respir Med Case Rep Case Report Tularemia is a rare zoonotic disease caused by the two predominant subspecies of Francisella tularensis, namely subspecies tularensis and subspecies holarctica. The latter is less virulent than the former, is endemic in Europe, and usually has a mild disease course, although respiratory involvement and bacteraemia can occur. Tularemia in Belgium is rare, but the incidence seems to be increasing. It therefore seems prudent to raise awareness among clinicians for this potentially severe disease. We report the first case of pneumonic tularemia with bacteraemia from Belgium, and want to recommend including Francisella tularensis in the differential diagnosis of pneumonia when an unfavorable evolution is seen with standard treatment. Elsevier 2023-06-07 /pmc/articles/PMC10275714/ /pubmed/37334032 http://dx.doi.org/10.1016/j.rmcr.2023.101882 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Schepens, Niels
Verniest, Thessa
Verstreken, Isabel
Henckaerts, Liesbet
Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male
title Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male
title_full Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male
title_fullStr Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male
title_full_unstemmed Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male
title_short Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male
title_sort francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10275714/
https://www.ncbi.nlm.nih.gov/pubmed/37334032
http://dx.doi.org/10.1016/j.rmcr.2023.101882
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