Abstract

The purpose of this article was to study the epidemiological situation of tularemia – zoonotic natural focal disease in the Russian Federation (RF) in General and in the Chuvash Republic (CR) in particular. The paper presents a clinical case of tularemia after prolonged epidemiological well-being in the CR. The material on the incidence of tularemia in the CR from 2007 to 2017 was studied. In total for the analyzed period in the Republic 2 serologically confirmed cases of tularemia among the adult population infected at rafting on the Ural river in Bashkortostan were registered. It was found that despite the epidemic well-being, in the territory of the Russian Federation there is a possibility of infection with tularemia microbe in the places of circulation of the pathogen and for timely diagnosis of infection, the doctor must remember the most manifest symptoms of the disease, which are fever, skin rashes and lymphadenitis. The sporadic nature of the disease, the variety of clinical manifestations of tularemia, the absence of specific symptoms in the early days of the disease are the causes of diagnostic errors.

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