Cases reported "Tularemia"

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1/4. tularemia: a case transmitted from a sheep.

    tularemia is an arthropod-borne infectious disease caused by francisella tularensis, a gram-negative microorganism that normally resides in a wide range of wild and domestic animals. The disease is characterized by a sudden onset with high fever, headache, malaise, chills, myalgia, and arthralgia. A short time after exposure, an inflamed and ulcerated lesion rapidly appears at the site of entry. A regional lymphadenopathy follows the cutaneous presentation.Cultures from the lesions or blood generally give negative results. Histopathologic examination reveals either a nonspecific inflammatory infiltrate or an infectious granuloma. The most useful laboratory procedure in the diagnosis of tularemia is serologic tests. streptomycin, gentamicin, and tetracycline are the drugs of choice in the treatment. quinolones are also effective. tularemia is fairly rare in turkey. We present a typical case of ulceroglandular tularemia transmitted from a sheep to a young man.
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keywords = wild
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2/4. Parinaud's oculoglandular syndrome attributable to an encounter with a wild rabbit.

    PURPOSE: To describe the clinical and histopathologic findings in a patient with Parinaud's oculoglandular syndrome attributable to francisella tularensis obtained from an encounter with a wild baby rabbit. methods: In an 18-year-old man, the clinical course, laboratory findings, and histopathologic findings are described. RESULTS: Parinaud's oculoglandular syndrome should be considered in the differential diagnosis of a patient presenting with unilateral granulomatous conjunctivitis, painful preauricular, and submandibular lymphadenopathy combined with systemic symptoms of general malaise and fever. CONCLUSION: tularemia is one etiology of Parinaud's oculoglandular syndrome. It is caused by francisella tularensis and is usually transmitted to humans via infected animal blood or through an insect bite, most often a tick. For treatment, intramuscular streptomycin is the drug of choice.
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3/4. A family outbreak of tularemia.

    A family cluster of tularemia is described. In a family of three members different clinical type of the disease occurred after having been exposed to a sick wild hare. From the hare kidney francisella tularensis type 1 was isolated. Pneumonic, typhoid-like tularemia occurred in the father who inhaled hare skin hairs and an ulceroglandular form in the mother and in the child who had direct contact with the animal.
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4/4. tularemia pneumonia in washington, DC. A report of three cases with possible common-source exposures.

    In June 1978, three cases of tularemia pneumonia occurred in persons residing in the washington, DC, area. The patients, all men, became ill three to four days after a brief session training their hunting dogs in an undeveloped wooded area adjacent to a housing complex. One of the dogs, which later died, had captured a wild rabbit during the training session. All three men had handled the rabbit while familiarizing their dogs with the rabbit's scent. The men had no other common exposure that was a likely source of infection.
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