Abstract
Ulceroglandular tularemia is caused by the transmission of Francisella tularensis by arthropods to a human host. We report a case of tick-borne tularemia in Austria which was followed by an abscess formation in a lymph node, making drainage necessary. F. tularensis subsp. holarctica was identified by PCR and multilocus sequence typing.
Highlights
Depending on the transmission route of Francisella tularensis, tularemia can present as a local infection or a systemic disease [1]
We report a case of ulceroglandular tularemia after a tick bite which occurred in Austria in the same district
Knowledge about local epidemiology of tularemia is crucial for correct diagnosis and treatment, given the wide range of various pathogens which can be transmitted by ticks to humans
Summary
We report a case of ulceroglandular tularemia after a tick bite which occurred in Austria in the same district. A few days later, ulceration on the site of the tick bite and submandibular lymphadenopathy developed (Figure 1). Physical examination revealed small, circumscribed, raised redness with a central crust on day 8 after the tick bite. Two and a half weeks after the tick bite, the patient developed abscessing lymphadenopathy, and the antibiotic treatment was changed to ampicillin/sulbactam.
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