Cases reported "Tularemia"

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1/14. 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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ranking = 1
keywords = tick, bite
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2/14. Rapid laboratory diagnosis of ulceroglandular tularemia with polymerase chain reaction.

    tularemia is a zoonotic disease which, in scandinavia, is usually acquired through a mosquito bite. As the infecting organism, francisella tularensis, is highly virulent the culturing of F. tularensis has generally been avoided. PCR offers a safe way to rapidly confirm diagnosis of tularemia. The case of a 9-y-old boy with ulceroglandular tularemia is presented. The diagnosis was made rapidly with dna amplification from a pus specimen. The efficacy of ciprofloxacin treatment of tularemia in children is also discussed.
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ranking = 0.11552659941109
keywords = bite
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3/14. tularemia--oklahoma, 2000.

    In June 2000, seven cases of tularemia were reported to the oklahoma State Department of Health (OSDH) over an 18-day period. Enhanced tularemia surveillance by OSDH during July-September 2000 detected four additional cases. During 1995-1999, an average of six cases were reported each year. This report summarizes clinical and epidemiologic information from the investigation of the 11 cases, presents three case reports to illustrate different risk factors for tularemia, and underscores the danger of delayed diagnosis of tularemia and the risk for acquiring tularemia in laboratory settings. physicians should consider tularemia in ill persons with fever who reside in or visit areas where the disease is endemic and who have been exposed to ticks or carcasses or tissue from rabbits or other animals.
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ranking = 0.88447340058891
keywords = tick
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4/14. Dual infection: tularemia and Lyme borreliosis acquired by single tick bite in northwest croatia.

    A case of dual infection, tularemia and Lyme borreliosis acquired by a single tick bite in northwest croatia is presented. The patient came from a highly endemic region for Lyme borreliosis, where 45% of the ticks are infected with borrelia burgdorferi. Clinically, tularemia manifested as the ulceroglandular form, and Lyme borreliosis manifested with arthritis (knee). Both diseases responded well to combined antibiotic therapy.
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ranking = 47.018865919685
keywords = tick bite, tick, bite
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5/14. tularemia of the head and neck: a possible sign of bioterrorism.

    Recent bioterror attacks and other world events have focused the medical community's attention on agents that might be used in biological warfare. One of these potential biological weapons is francisella tularensis, a gramnegative coccobacillus that is one of the most infectious bacteria known. F tularensis can cause severe, even fatal, systemic tularemia. Under normal circumstances, F tularensis is transmitted by infected ticks, insects, and other animals. As a weapon of terrorism, the bacterium would likely be disseminated as an aerosol and contracted by inhalation. Because many cases of tularemia are characterized by head and neck symptoms, otolaryngologists should be familiar with the diagnosis and management of this disease. In this article, we describe a case of zoonotic tularemia that manifested as a neck mass, and we review the pathophysiology, diagnosis, and treatment of tularemia. We also summarize what is known about its potential as a biological weapon.
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ranking = 0.88447340058891
keywords = tick
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6/14. myositis and septicaemia caused by francisella tularensis biovar holarctica.

    A case of tularaemia presenting with severe septicaemia and myositis is reported. The infection was presumed to be acquired by a bite from the horse fly Haematopota pluvialis, also known as the rain fly.
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ranking = 0.11552659941109
keywords = bite
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7/14. tularemia associated with a hamster bite--colorado, 2004.

    In April 2004, the colorado Department of public health and environment (CDPHE) was notified about a boy aged 3 years with diagnosed tularemia associated with a hamster bite. tularemia has not been associated previously with pet hamsters. CDPHE conducted an investigation to determine whether other owners of hamsters were at risk. Clinicians and public health officials should be aware that pet hamsters are a potential source of tularemia.
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ranking = 0.57763299705545
keywords = bite
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8/14. Response of tularemic meningitis to antimicrobial therapy.

    A 60-year-old man had pyogenic meningitis due to francisella tularensis acquired by tick bite. His disease initially improved but later relapsed after a standard course of streptomycin. Complete resolution resulted from prolonged combined therapy with streptomycin and tetracycline. Successful treatment of acute tularemic meningitis has not previously been reported. Our experience suggests that therapy should include agents that reliably penetrate the CSF, that is, tetracycline or chloramphenicol, for optimal treatment of this rare form of tularemia.
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ranking = 9.2268785038193
keywords = tick bite, tick, bite
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9/14. Oculoglandular syndrome caused by francisella tularensis.

    Oculoglandular syndrome developed in a 9-year-old boy with a recent history of tick bites and minor eye trauma. francisella tularensis was isolated on chemically supplemented chocolate agar from a swab of a conjunctival ulcer and an aspirate of a preauricular lymph node, confirming the diagnosis of tularemia. In addition, a rise in agglutination titer to the pathogen was detected in paired sera. The differential diagnosis of oculoglandular syndrome is discussed, with emphasis on the clinical characteristics which led to the diagnosis of tularemia.
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ranking = 9.2268785038193
keywords = tick bite, tick, bite
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10/14. Tick-borne tularemia presenting as ulcerative lymphadenitis.

    In a patient with suppurative lymphadenitis who fails to respond to antibiotics routinely used for pyogenic adenitis, the diagnosis of tularemia should be considered if there is good evidence for recent tick or other insect exposure. A trial of streptomycin therapy may be indicated, pending culture and serology results, in any patient whose signs and symptoms strongly suggest this diagnosis.
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ranking = 0.88447340058891
keywords = tick
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