Abstract

Tularaemia, though rare, has recently been increasingly reported in Germany. Most cases are indigenous infections. This report describes two epidemiologically independent infections with Francisella tularensis subspecies holarctica detected in Berlin in February 2011 that were acquired in central Anatolia, Turkey. In Turkey, there have been repeated tularaemia outbreaks since 2000 and the disease should therefore be considered as a differential diagnosis in travellers returning from that country.

Highlights

  • Tularaemia, though rare, has recently been increasingly reported in Germany

  • This report describes two epidemiologically independent infections with Francisella tularensis subspecies holarctica detected in Berlin in February 2011 that were acquired in central Anatolia, Turkey

  • In Turkey, there have been repeated tularaemia outbreaks since 2000 and the disease should be considered as a differential diagnosis in travellers returning from that country

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Summary

Rapid communications

Citation style for this article: Schubert A, Splettstoesser W, Bätzing-Feigenbaum J. Tularaemia in Berlin – two independent cases in travellers returning from central Anatolia, Turkey, February 2011. Tularaemia, though rare, has recently been increasingly reported in Germany. This report describes two epidemiologically independent infections with Francisella tularensis subspecies holarctica detected in Berlin in February 2011 that were acquired in central Anatolia, Turkey. In Turkey, there have been repeated tularaemia outbreaks since 2000 and the disease should be considered as a differential diagnosis in travellers returning from that country

Case description and clinical diagnosis
Laboratory confirmation
Public health implications
Epidemiological considerations
Findings
Clinical considerations
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