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First Case of Tularemia Reported in Portugal: Probably of Imported Origin

dc.contributor.authorLopes de Carvalho, I.
dc.contributor.authorNascimento, P.
dc.contributor.authorNúncio, M.S.
dc.contributor.authorRico, M.T.
dc.date.accessioned2019-02-18T11:54:11Z
dc.date.available2019-02-18T11:54:11Z
dc.date.issued2018-11-19
dc.descriptionCase report articlept_PT
dc.descriptionFree PMC Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252358/pt_PT
dc.description.abstractTularemia 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.pt_PT
dc.description.sponsorshipThis work was supported by the National Institute of Health Dr. Ricardo Jorgept_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFront Public Health. 2018 Nov 19;6:325. doi: 10.3389/fpubh.2018.00325. eCollection 2018pt_PT
dc.identifier.doi10.3389/fpubh.2018.00325pt_PT
dc.identifier.issn2296-2565
dc.identifier.urihttp://hdl.handle.net/10400.18/5844
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFrontiers Mediapt_PT
dc.relation.publisherversionhttps://www.frontiersin.org/articles/10.3389/fpubh.2018.00325/fullpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectTularemiapt_PT
dc.subjectPatientpt_PT
dc.subjectUlceroglandularpt_PT
dc.subjectFrancisella tularensis subsp. holarcticapt_PT
dc.subjectCase Reportpt_PT
dc.subjectPortugalpt_PT
dc.subjectInfecções Sistémicas e Zoonosespt_PT
dc.titleFirst Case of Tularemia Reported in Portugal: Probably of Imported Originpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage325pt_PT
oaire.citation.titleFrontiers in Public Healthpt_PT
oaire.citation.volume6pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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