{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T07:56:42Z","timestamp":1789631802919,"version":"build-2803163510"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"Supplement_1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Tularemia is caused by the highly infectious bacterium Francisella tularensis, which is recognized as a Tier 1 bioterrorism agent. Tularemia has a range of recognized clinical manifestations, but fewer than 20 bone or joint infections from 6 countries have been reported in the literature to date. This series includes 13 cases of F. tularensis septic arthritis or osteomyelitis in the United States during 2004\u20132023 and describes exposures, clinical presentation, diagnosis, and outcomes for this rare but severe form of tularemia. Clinicians should consider F. tularensis in patients with compatible exposures or a history of joint replacement or immunosuppression.<\/jats:p>","DOI":"10.1093\/cid\/ciad688","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T10:07:55Z","timestamp":1706695675000},"page":"S67-S70","source":"Crossref","is-referenced-by-count":8,"title":["<i>Francisella tularensis<\/i> Bone and Joint Infections: United States, 2004\u20132023"],"prefix":"10.1093","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7275-4501","authenticated-orcid":false,"given":"Amy M","family":"Beeson","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention , Division of Vector-Borne Diseases, Fort Collins, Colorado , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly","family":"Baker","sequence":"additional","affiliation":[{"name":"Missouri Department of Health and Senior Services , Jefferson City, Missouri , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BreeAnna","family":"Dell","sequence":"additional","affiliation":[{"name":"Public Health\u2014Seattle and King County , Seattle, Washington , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Schnitzler","sequence":"additional","affiliation":[{"name":"Washington State Department of Health , Shoreline, Washington , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna N","family":"Oltean","sequence":"additional","affiliation":[{"name":"Washington State Department of Health , Shoreline, Washington , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Woodall","sequence":"additional","affiliation":[{"name":"Colorado Department of Public Health and Environment , Denver, Colorado , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Riedo","sequence":"additional","affiliation":[{"name":"EvergreenHealth , Kirkland, Washington , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention , Division of Vector-Borne Diseases, Fort Collins, Colorado , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeannine","family":"Petersen","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention , Division of Vector-Borne Diseases, Fort Collins, Colorado , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison F","family":"Hinckley","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention , Division of Vector-Borne Diseases, Fort Collins, Colorado , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace E","family":"Marx","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention , Division of Vector-Borne Diseases, Fort Collins, Colorado , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,1,31]]},"reference":[{"key":"2024013110073841600_ciad688-B1","first-page":"1196","volume-title":"Harrison\u2019s principles of internal medicine, 20e","author":"Petersen","year":"2018"},{"key":"2024013110073841600_ciad688-B2","first-page":"963","article-title":"Tularemia-United States, 2001\u20142010","volume":"62","author":"Nelson","year":"2013","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2024013110073841600_ciad688-B3","volume-title":"WHO Guidelines on tularaemia","author":"World Health 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