Tularemia in Children, Europe, September 2009–November 2012

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Tezer, Hasan ; Ozkaya-Parlakay, Aslınur ; Aykan, Hakan ; Erkocoglu, Mustafa ; Gülhan, Belgin ; Demir, Ahmet ; Kanik-Yuksek, Saliha ; Tapisiz, Anil ; Polat, Meltem ; Kara, Soner ; Devrim, Ilker ; Kilic, Selcuk
• Description:
  Tularemia, a zoonotic disease caused by Francisella tularensis, is found throughout most of the Northern Hemisphere. It is not well known and is often misdiagnosed in children. Our aim with this study was to evaluate the diagnosis, treatment, and prognosis for 100 children with tularemia in Europe. The mean patient age was 10.1 ± 3.5 years (range 3-18 years), and most (63%) patients were male. The most common physical signs and laboratory findings were cervical lymphadenopathy (92%) and elevated erythrocyte sedimentation rate (89%). Treatment response was higher and rate of relapse lower for children 5-10 years of age than for those in other age groups. Associated with treatment failure were female sex, treatment delay of ≥16 days, and use of doxycycline. Tularemia is endemic to Europe, and the number of cases has been increasing among children as well as adults.
• Subjects:
  Bacteria Children Oropharyngeal Form Relapse Synopsis Treatment Tularemia Tularemia In Children, Europe, September 2009–November 2012 Zoonoses
• Source:
  Emerg Infect Dis. 21(1):1-7.
• Document Type:
  Journal Article
• Volume:
  21
• Issue:
  1
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:74b25dc37e6524cf5f1fdaa9876bbec9df5aa2521cbecde945804b90a06601f4
• Download URL:
  https://stacks.cdc.gov/view/cdc/26656/cdc_26656_DS1.pdf
• File Type:
  [PDF - 853.97 KB ]