Tularemia - 12/08/11
Doi : 10.1016/j.idc.2008.03.004
Lise E. Nigrovic, MD, MPH a, b, ⁎ 
, Sarah L. Wingerter, MD c, d
, Sarah L. Wingerter, MD c, d a Division of Emergency Medicine, Children’s Hospital, Boston, 300 Longwood Avenue, Boston, MA 02115, USA
b Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA
c Department of Emergency Medicine, Section of Infectious Diseases, St. Christopher’s Hospital for Children, Erie Avenue at Front Street, Philadelphia, PA 19134, USA
d Drexel University College of Medicine, 2900 W. Queen Lane, Philadelphia, PA 19129, USA
Corresponding author.Abstract |
Tularemia is a rare zoonotic infection caused by the bacterium Francisella tularensis. The disease is endemic in North America and parts of Europe and Asia. Arthropods (ticks and deer flies) are the main transmission vector, and small animals (rabbits, hares, and muskrats) serve as reservoir hosts. The clinical presentation depends on the bacterial subspecies and the route of infection. Recent world events have led to a new recognition of F tularensis as a viable agent of bioterrorism, which has sparked a renewed focus on this pathogen.
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© 2008
Elsevier Inc. Tous droits réservés.
Vol 22 - N° 3
P. 489-504 - septembre 2008 Retour au numéro
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