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Infection
Published in: Infection 2/2016

01-04-2016 | Case Report

Francisella tularensis aortitis

Authors: M. Briere, A. Kaladji, F. Douane, J. P. Breux, P. Touroult-Jupin, S. Boisset, S. Edouard, C. Biron, D. Boutoille

Published in: Infection | Issue 2/2016

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Abstract

Francisella tularensis, the agent of tularemia, is a Gram-negative coccobacillus primarily pathogen for animals and occasionally for humans. The clinical manifestations of tularemia include pneumonia, ulceroglandular, oropharyngeal, or typhoidal disease. Rare manifestations are also described, but to our knowledge, we describe here the first case of F. tularensis aortitis in a human. Diagnosis was confirmed by the presence of F. tularensis in blood culture, by the presence of F. tularensis DNA in the aortic biopsy and by specific IgG and IgM responses against the bacteria. The outcome was favorable after surgery and specific antimicrobial therapy.
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Mailles A, Vaillant V. 10 years of surveillance of human tularaemia in France. Euro Surveill Bull Eur Sur Mal Transm Eur Commun Dis Bull. 2014;19:20956.
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Weber IB, Turabelidze G, Patrick S, Griffith KS, Kugeler KJ, Mead PS. Clinical recognition and management of tularemia in Missouri: a retrospective records review of 121 cases. Clin Infect Dis Off Publ Infect Dis Soc Am. 2012;55:1283–90.
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Metadata
Title
Francisella tularensis aortitis
Authors
M. Briere
A. Kaladji
F. Douane
J. P. Breux
P. Touroult-Jupin
S. Boisset
S. Edouard
C. Biron
D. Boutoille
Publication date
01-04-2016
Publisher
Springer Berlin Heidelberg
Published in
Infection / Issue 2/2016
Print ISSN: 0300-8126
Electronic ISSN: 1439-0973
DOI
https://doi.org/10.1007/s15010-015-0824-4

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