Francisella tularensis Transmission by Solid Organ Transplantation, 2017.

In July 2017, fever and sepsis developed in 3 recipients of solid organs (1 heart and 2 kidneys) from a common donor in the United States; 1 of the kidney recipients died. Tularemia was suspected only after blood cultures from the surviving kidney recipient grew Francisella species. The organ donor, a middle-aged man from the southwestern United States, had been hospitalized for acute alcohol withdrawal syndrome, pneumonia, and multiorgan failure.

Chronic urticaria: an unusual initial manifestation of primary hyperparathyroidism.

Objective: To discuss the rare association between primary hyperparathyroidism and chronic urticaria.

Methods: A case report with clinical and laboratory details is presented, and the pertinent literature is reviewed.

Results: A 29-year-old patient with chronic urticaria for more than 2 years, which was partially responsive to medical treatment, was found to have primary hyperparathyroidism.