{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T15:16:50Z","timestamp":1759331810883,"version":"3.41.2"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2019,9,24]],"date-time":"2019-09-24T00:00:00Z","timestamp":1569283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We present a young pregnant woman who developed ulceroglandular tularaemia following a bite wound from a kitten. She grew Francisella tularensis from the ulcer. While awaiting bacterial culture results and serology for Bartonella, she was treated with azithromycin, with resolution of fever and axillary tenderness. Treatment recommendations for tularemia are either gentamicin or doxycycline, both of which can be perilous to the fetus. A Centers for Disease Control and Prevention report on the macrolide susceptibility of North American isolates of this organism has been underappreciated. The unanticipated result from this patient may give another potential option for treatment of tularemia in pregnancy.<\/jats:p>","DOI":"10.1093\/ofid\/ofz413","type":"journal-article","created":{"date-parts":[[2019,9,24]],"date-time":"2019-09-24T13:12:18Z","timestamp":1569330738000},"source":"Crossref","is-referenced-by-count":4,"title":["Serendipitous Treatment of Tularemia in Pregnancy"],"prefix":"10.1093","volume":"6","author":[{"given":"Joyce J","family":"Johnsrud","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn Rebecca","family":"Smith","sequence":"additional","affiliation":[{"name":"Boston Mountain Rural Health, Bee Branch, Arkansas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert W","family":"Bradsher","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,9,24]]},"reference":[{"key":"2020081005081062400_CIT0001","first-page":"2590","article-title":"Francisella tularensis tularemia.","volume-title":"Principle and Practice of Infectious Diseases","author":"Penn","year":"2015","edition":"8"},{"key":"2020081005081062400_CIT0002","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1097\/00006454-199502000-00014","article-title":"Treatment of tularemia with gentamicin in pediatric patients","volume":"14","author":"Cross","year":"1995","journal-title":"Pediatr Infect Dis J"},{"key":"2020081005081062400_CIT0003","doi-asserted-by":"crossref","first-page":"996","DOI":"10.3201\/eid1906.130138","article-title":"Treatment of tularemia in pregnant woman, France","volume":"19","author":"Dentan","year":"2013","journal-title":"Emerg Infect Dis"},{"key":"2020081005081062400_CIT0004","doi-asserted-by":"crossref","first-page":"e133","DOI":"10.1093\/cid\/cir612","article-title":"Human tularemia in France, 2006-2010","volume":"53","author":"Maurin","year":"2011","journal-title":"Clin Infect Dis"},{"key":"2020081005081062400_CIT0005","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1186\/1471-2180-10-123","article-title":"Azithromycin effectiveness against intracellular infections of Francisella","volume":"10","author":"Ahmad","year":"2010","journal-title":"BMC Microbiol"},{"issue":"9","key":"2020081005081062400_CIT0006","doi-asserted-by":"crossref","first-page":"e00612","DOI":"10.1128\/AAC.00612-17","article-title":"In vitro antibiotic susceptibilities of Francisella tularensis determined by broth microdilution following CLSI methods","volume":"61","author":"Heine","year":"2017","journal-title":"Antimicrob Agents Chemother"},{"key":"2020081005081062400_CIT0007","doi-asserted-by":"crossref","first-page":"2276","DOI":"10.1128\/AAC.01584-07","article-title":"In vitro susceptibility of isolates of Francisella tularensis types A and B from North America","volume":"52","author":"Urich","year":"2008","journal-title":"Antimicrob Agents Chemother"}],"container-title":["Open Forum Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ofid\/advance-article-pdf\/doi\/10.1093\/ofid\/ofz413\/30047182\/ofz413.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ofid\/article-pdf\/6\/10\/ofz413\/33599081\/ofz413.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ofid\/article-pdf\/6\/10\/ofz413\/33599081\/ofz413.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,8,10]],"date-time":"2020-08-10T09:11:24Z","timestamp":1597050684000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ofid\/article\/doi\/10.1093\/ofid\/ofz413\/5573190"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,24]]},"references-count":7,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2019,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ofid\/ofz413","relation":{},"ISSN":["2328-8957"],"issn-type":[{"type":"electronic","value":"2328-8957"}],"subject":[],"published-other":{"date-parts":[[2019,10]]},"published":{"date-parts":[[2019,9,24]]},"article-number":"ofz413"}}