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A Case Report of Ulceroglandular Tularemia Caused by Francisella Tularensis Subsp. Holarctica in Iran Publisher Pubmed



Esmaeili S1, 2 ; Ghasemi A1, 6 ; Esmaeili P1, 2 ; Rezaie F3 ; Mohraz M4 ; Maurin M5 ; Mostafavi E1, 2
Authors
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Authors Affiliations
  1. 1. 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
  2. 2. Department of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Tehran, Iran
  3. 3. Center for Communicable Disease Control, Ministry of Health and Medical Education, Tehran, Iran
  4. 4. Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. CNRS, Grenoble INP, CHU Grenoble Alpes, TIMC-IMAG, Universite Grenoble Alpes, Grenoble, 38000, France
  6. 6. Department of Microbiology, Research Center of Reference Health Laboratory, Ministry of Health and Medical Education, Tehran, Iran

Source: Acta Tropica Published:2022


Abstract

Background: Tularemia is a zoonotic disease that has been reported in many countries of the Northern Hemisphere. However, in some countries, such as Iran, this disease has been neglected by the health care system, and it is under-reported. Case presentation: Here we report an unusual case of ulceroglandular tularemia occurring in a 35-year-old woman who presented with a skin lesion of the left flank, inguinal lymphadenopathy, and an abdominal abscess. The serological and real-time PCR tests for tularemia were positive for this patient, and infection by Francisella tularensis subsp. holarctica was confirmed. Conclusions: It is necessary to implement various educational programs to increase the awareness of physicians with tularemia. © 2022 Elsevier B.V.
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