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Tularemia presenting as pulmonary nodules in an immunocompromised patient.
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Tularemia is a zoonotic disease caused by Francisella tularensis that can be transmitted to humans when they handle rabbits, receive tick bites, consume contaminated water, or inhale aerosolized particles. We present the case of a 51-year-old white man with rheumatoid arthritis who was taking
Francisella tularensis infection in captive, wild caught prairie dogs.
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An adult, wild caught prairie dog was found dehydrated and ataxic, with severe diarrhea. Gross necropsy lesions consisted of scattered pinpoint white foci throughout the liver and spleen. A massive, purulent bronchopneumonia was found also. Direct fluorescent antibody tests and culture of spleen and
Tularemia in the Southeastern Swiss Alps at 1,700 m above sea level.
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A 37-year-old man presented with a 4-day history of nonbloody diarrhea, fever, chills, productive cough, vomiting, and more recent sore throat. He worked for the municipality in a village in the Swiss Alps near St. Moritz. Examination showed fever (40 °C), hypotension, tachycardia, tachypnea,
Francisella tularensis bacteraemia causing multi-organ failure.
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Tularemia is a zoonosis caused by the gram-negative coccobacillus Francisella tularensis. The bacterium can be transmitted in several ways including direct contact with animal reservoirs, ingestion, inhalation and bites, and typical clinical symptoms are headache, fever, diarrhea and dyspnea.
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* Todas as informações são baseadas em pesquisas científicas publicadas
