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First Case of Tularemia Reported in Portugal: Probably of Imported Origin
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Orientador(es)
Resumo(s)
Tularemia is a zoonotic disease caused by Francisella tularensis, a gram-negative, facultative
intracellular bacterium. Typically, human and animal infections are caused by F. tularensis
subspecies tularensis (type A) strains mainly in Canada and USA, and F. tularensis subspecies
holarctica (type B) strains throughout the northern hemisphere, including Europe.
Tularemia is a disease with epidemiological surveillance in Europe since 2003
(Decision 2000/96/EC). Despite being considered an uncommon disease, recent outbreaks have
been reported in several countries, including Spain, France, Scandinavia, Balkans and Hungary,
and sporadic cases in Austria, Italy and the United Kingdom.
In spite offbeing a disease of compulsory declaration in Portugal since 2003, until now no human
cases were reported.
In Portugal, seroprevalence rate of high-risk population is 8.9% and F. tularensis subsp.
holarctica was first detected in 2007 by molecular methods in a human sample. Since 1998,
National Institute of Health has provided the laboratory diagnosis of this disease, following the
occurrence of an epidemic outbreak in Spain.
The authors report here the first case of ulceroglandular form of tularemia in Portugal, probably
of imported origin.
Descrição
Case report article
Free PMC Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252358/
Free PMC Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252358/
Palavras-chave
Tularemia Patient Ulceroglandular Francisella tularensis subsp. holarctica Case Report Portugal Infecções Sistémicas e Zoonoses
Contexto Educativo
Citação
Front Public Health. 2018 Nov 19;6:325. doi: 10.3389/fpubh.2018.00325. eCollection 2018
Editora
Frontiers Media