Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male
Tularemia is a rare zoonotic disease caused by the two predominant subspecies of Francisella tularensis, namely subspecies tularensis and subspecies holarctica. The latter is less virulent than the former, is endemic in Europe, and usually has a mild disease course, although respiratory involvement...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2023-01-01
|
Series: | Respiratory Medicine Case Reports |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007123000771 |
_version_ | 1797803906865037312 |
---|---|
author | Niels Schepens Thessa Verniest Isabel Verstreken Liesbet Henckaerts |
author_facet | Niels Schepens Thessa Verniest Isabel Verstreken Liesbet Henckaerts |
author_sort | Niels Schepens |
collection | DOAJ |
description | Tularemia is a rare zoonotic disease caused by the two predominant subspecies of Francisella tularensis, namely subspecies tularensis and subspecies holarctica. The latter is less virulent than the former, is endemic in Europe, and usually has a mild disease course, although respiratory involvement and bacteraemia can occur. Tularemia in Belgium is rare, but the incidence seems to be increasing. It therefore seems prudent to raise awareness among clinicians for this potentially severe disease. We report the first case of pneumonic tularemia with bacteraemia from Belgium, and want to recommend including Francisella tularensis in the differential diagnosis of pneumonia when an unfavorable evolution is seen with standard treatment. |
first_indexed | 2024-03-13T05:28:05Z |
format | Article |
id | doaj.art-0d904952c5594162b9cf7caa182557f3 |
institution | Directory Open Access Journal |
issn | 2213-0071 |
language | English |
last_indexed | 2024-03-13T05:28:05Z |
publishDate | 2023-01-01 |
publisher | Elsevier |
record_format | Article |
series | Respiratory Medicine Case Reports |
spelling | doaj.art-0d904952c5594162b9cf7caa182557f32023-06-15T04:55:42ZengElsevierRespiratory Medicine Case Reports2213-00712023-01-0145101882Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent maleNiels Schepens0Thessa Verniest1Isabel Verstreken2Liesbet Henckaerts3Department of General Internal Medicine, KU Leuven-University Hospitals Leuven, Leuven, Belgium; Corresponding author.Department of Pneumology, Heilig Hart Hospital, Leuven, BelgiumDepartment of Microbiology, Heilig Hart Hospital, Leuven, BelgiumDepartment of General Internal Medicine, KU Leuven-University Hospitals Leuven, Leuven, Belgium; Department of Microbiology, Immunology and Transplantation, KU Leuven-University of Leuven, Leuven, BelgiumTularemia is a rare zoonotic disease caused by the two predominant subspecies of Francisella tularensis, namely subspecies tularensis and subspecies holarctica. The latter is less virulent than the former, is endemic in Europe, and usually has a mild disease course, although respiratory involvement and bacteraemia can occur. Tularemia in Belgium is rare, but the incidence seems to be increasing. It therefore seems prudent to raise awareness among clinicians for this potentially severe disease. We report the first case of pneumonic tularemia with bacteraemia from Belgium, and want to recommend including Francisella tularensis in the differential diagnosis of pneumonia when an unfavorable evolution is seen with standard treatment.http://www.sciencedirect.com/science/article/pii/S2213007123000771Tick-borne diseaseFrancisella tularensisTularemiaFever of unknown origin |
spellingShingle | Niels Schepens Thessa Verniest Isabel Verstreken Liesbet Henckaerts Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male Respiratory Medicine Case Reports Tick-borne disease Francisella tularensis Tularemia Fever of unknown origin |
title | Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male |
title_full | Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male |
title_fullStr | Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male |
title_full_unstemmed | Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male |
title_short | Francisella tularensis subsp. holarctica bacteraemia in an immunocompetent male |
title_sort | francisella tularensis subsp holarctica bacteraemia in an immunocompetent male |
topic | Tick-borne disease Francisella tularensis Tularemia Fever of unknown origin |
url | http://www.sciencedirect.com/science/article/pii/S2213007123000771 |
work_keys_str_mv | AT nielsschepens francisellatularensissubspholarcticabacteraemiainanimmunocompetentmale AT thessaverniest francisellatularensissubspholarcticabacteraemiainanimmunocompetentmale AT isabelverstreken francisellatularensissubspholarcticabacteraemiainanimmunocompetentmale AT liesbethenckaerts francisellatularensissubspholarcticabacteraemiainanimmunocompetentmale |