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Erschienen in: Infection 5/2019

17.01.2019 | Review

Tularemia: an experience of 13 cases including a rare myocarditis in a referral center in Eastern Switzerland (Central Europe) and a review of the literature

verfasst von: Manuel Frischknecht, Angelina Meier, Bernhard Mani, Lucas Joerg, Olaf Chan-Hi Kim, Katia Boggian, Carol Strahm

Erschienen in: Infection | Ausgabe 5/2019

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Abstract

Background

Tularemia, a zoonotic disease caused by Francisella tularensis, can cause a broad spectrum of disease in humans including six major clinical presentations: the ulceroglandular, glandular, oculoglandular, oropharyngeal, typhoidal and pneumonic form. The epidemiology and ecology and thus transmission of tularemia are complex, depending on conditions unique to specific locations.

Case series and methods

Thirteen cases with different forms of the disease and one very rare case of a myocarditis are reported, discussed, and reviewed within the scope of current literature.

Conclusion

Tularemia is a rare, but emerging disease in Central Europe with glandular and ulceroglandular disease as its predominant forms. Transmission is mainly caused by contact with lagomorphs, rodents and tick bites. However, domestic cats may play an important role in transmission too. Myocarditis is probably a worldwide, but very rare manifestation of tularemia.
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Metadaten
Titel
Tularemia: an experience of 13 cases including a rare myocarditis in a referral center in Eastern Switzerland (Central Europe) and a review of the literature
verfasst von
Manuel Frischknecht
Angelina Meier
Bernhard Mani
Lucas Joerg
Olaf Chan-Hi Kim
Katia Boggian
Carol Strahm
Publikationsdatum
17.01.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Infection / Ausgabe 5/2019
Print ISSN: 0300-8126
Elektronische ISSN: 1439-0973
DOI
https://doi.org/10.1007/s15010-019-01269-7

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