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http://dx.doi.org/10.1503/cmaj.122097DOI Listing

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The great tularemia outbreak in Sivas: Evaluation of 205 cases.

Diagn Microbiol Infect Dis

January 2025

Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Sivas Cumhuriyet University, Sivas, Turkey.

This study aimed to report a tularemia outbreak in Sivas and describe the epidemiological and diagnostic characteristics of the patients. Patients aged 18 and over followed up with a diagnosis of tularemia in Sivas Cumhuriyet University Hospital, Sivas Numune State Hospital, and Sivas State Hospital Infectious Diseases Outpatient Clinics and wards between November 2023 and May 2024 were evaluated. 205 adult patients with tularemia were included.

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Introduction: This retrospective, cross-sectional, multi-center study aimed to evaluate the impact of laboratory results and treatments on the treatment response in patients diagnosed with tularemia.

Methods: The study included 190 adult patients diagnosed with tularemia between November 2023 and June 2024.

Results: 67.

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Tularemia in Pediatric Patients: A Case Series and Review of the Literature.

Pediatr Infect Dis J

September 2024

Laboratoire de Microbiologie, Hôpital Robert Debré, AP-HP, Paris, France.

Article Synopsis
  • Tularemia is often misdiagnosed in children due to its similar symptoms to other common lymphadenopathy diseases, leading to delayed treatment; awareness among pediatricians is crucial.
  • A review of 94 cases revealed a wide age range of affected children, with infection sources primarily from zoonotic transmission and contaminated water, and fever being a common symptom.
  • Effective treatment typically includes aminoglycosides, fluoroquinolones, or tetracyclines, and pediatricians should consider tularemia in cases of febrile lymphadenopathy to avoid unnecessary costs from misguided antibiotic treatments and extended hospital stays.
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Oropharyngeal tularemia outbreak linked to drinking contaminated tap water in North-Western Iran.

Diagn Microbiol Infect Dis

November 2024

National Reference Laboratory for Plague, Tularemia and Q fever, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Akanlu, Kabudar Ahang, Hamadan, Iran; Department of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran. Electronic address:

Article Synopsis
  • Tularemia, caused by the bacterium Francisella tularensis, is a common infectious disease that can affect humans and animals.
  • In 2020, a tularemia outbreak occurred in a northwestern village in Iran, affecting 15 people who had the oropharyngeal form of the disease.
  • The outbreak was likely connected to the consumption of contaminated drinking water in the area.
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Tularemia is one of the most prevalent zoonoses across the world. Patients in Turkiye mostly contract the oropharyngeal form, acquired through drinking, or contact with microorganism-contaminated water. Patients with oropharyngeal tularemia aged under 18 years and diagnosed between January 01, 2017, and December 31, 2020, were evaluated retrospectively.

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