Should we consider tularemia in travelers returning from North Africa?

IF 3.1 2区医学 Q2 INFECTIOUS DISEASES

Ticks and Tick-borne Diseases Pub Date : 2025-06-27 DOI:10.1016/j.ttbdis.2025.102511

Souheil Zayet , Isabelle Pelloux , Max Maurin , Vincent Gendrin , Jean-Baptiste Vuillemenot , Pauline Granier , Julie Plantin , Thierry Spicarolen , Timothée Klopfenstein

引用次数: 0

Abstract

We report a rare case of cervical lymphadenopathy tularemia from North Africa in a French immunocompromised traveler returning from Egypt after participating in an outdoor travel involving dromedary camels. The timeline and clinical course support tularemia as a cause of infection in this patient. The diagnosis was confirmed by serology and polymerase chain reaction methods. A concurrent Epstein-Barr virus-infectious mononucleosis complicated the diagnosis of tularemia. Treatment was successful after surgical procedures in addition to two different antimicrobial regimens: doxycycline followed by fluoroquinolones.

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我们是否应该考虑从北非返回的旅行者感染土拉菌病？

我们报告一个罕见的病例宫颈淋巴结病土拉热病从北非在法国免疫功能低下的旅行者从埃及参加了一个户外旅行涉及单峰骆驼返回。时间线和临床病程支持兔热病是该患者感染的原因。血清学和聚合酶链反应证实了诊断。eb病毒感染性单核细胞增多症并发并发兔热病的诊断。手术后治疗成功，另外还有两种不同的抗菌方案：强力霉素和氟喹诺酮类药物。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ticks and Tick-borne Diseases INFECTIOUS DISEASES-MICROBIOLOGY

CiteScore

6.90

自引率

12.50%

发文量

185

审稿时长

6-12 weeks

期刊介绍： Ticks and Tick-borne Diseases is an international, peer-reviewed scientific journal. It publishes original research papers, short communications, state-of-the-art mini-reviews, letters to the editor, clinical-case studies, announcements of pertinent international meetings, and editorials. The journal covers a broad spectrum and brings together various disciplines, for example, zoology, microbiology, molecular biology, genetics, mathematical modelling, veterinary and human medicine. Multidisciplinary approaches and the use of conventional and novel methods/methodologies (in the field and in the laboratory) are crucial for deeper understanding of the natural processes and human behaviour/activities that result in human or animal diseases and in economic effects of ticks and tick-borne pathogens. Such understanding is essential for management of tick populations and tick-borne diseases in an effective and environmentally acceptable manner.