Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Two cases of tick-borne transmitted tularemia on Southern Zealand, Denmark

Research output: Contribution to journalJournal articleResearchpeer-review

DOI

  1. Bacteremia and urogenital infection with Actinomyces urogenitalis following prolonged urinary retention

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Analysis of proximal bone margins in diabetic foot osteomyelitis by conventional culture, DNA sequencing and microscopy

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. L-serine: a neglected amino acid with a potential therapeutic role in diabetes

    Research output: Contribution to journalReviewResearchpeer-review

  4. Erythrocytes restrict microvesicle-induced production of reactive oxygen species by polymorphonuclear leukocytes

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. The impact of concurrent HIV and type II diabetes on immune maturation, immune regulation and immune activation

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Morten Bahrt Haulrig
  • Gustav Mathiasen
  • Rikke Maria Nielsen
  • Charles Boy Kromann
  • Karen Angeliki Krogfelt
  • Lothar Wiese
View graph of relations

Francisella tularensis is a zoonotic bacterium which causes the infection tularemia. It colonizes invertebrates and vertebrates, counting wildlife animals and rodents. Humans can become infected through several pathways including contaminated food, water, and handling animals and due to bites from vectors. Ticks are known to cause tularemia in humans, though their role as a disease transferring vector is not well understood. We describe two case reports of tularemia transferred by ticks on Southern Zealand, Denmark. Case 1: A 49-year-old woman presented with lymphadenopathy and an unhealed sifting wound after a tick bite. Serology tests for F. tularensis were initially negative but turned positive five weeks after symptom onset, when abscess drainage was performed. Gentamicin and ciprofloxacin treatment improved the patient’s clinical condition, and she completely recovered. Case 2: A 74-year-old man presented with malaise, fever, and an abdominal ulcer allegedly caused after a vector bite. CRP and leukocytes were increased, while serology tests for F. tularensis were negative. Doxycycline treatment improved the patient’s clinical condition, and he completely recovered. Three weeks after symptom onset, renewed serology tests for F. tularensis were positive.

Original languageEnglish
JournalAPMIS - Journal of Pathology, Microbiology and Immunology
Volume128
Issue number1
Pages (from-to)61-64
Number of pages4
ISSN0903-4641
DOIs
Publication statusPublished - Jan 2020

    Research areas

  • bacterial infection, Francisella tularensis, lymphadenitis, tick-borne, tularemia, zoonotic disease

ID: 58329948