{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:20:06Z","timestamp":1792660806194,"version":"4.5.0"},"reference-count":31,"publisher":"Microbiology Society","issue":"2","license":[{"start":{"date-parts":[[2017,2,28]],"date-time":"2017-02-28T00:00:00Z","timestamp":1488240000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,2,28]]},"abstract":"<jats:p>\n                  <jats:bold>Introduction.<\/jats:bold> Tularaemia is caused by infection with <jats:italic>Francisella tularensis<\/jats:italic>transmitted via direct contact with an infected hare carcass or indirectly through the bites of vectors, but may be cat-bite-associated as well. Medical history and reliable diagnostic analysis are important in order to differentiate it from other cat-associated infections, e.g. <jats:italic>Bartonella<\/jats:italic> spp.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Case presentation.<\/jats:bold> A healthy 56-year-old man was examined because of a cat-bite-associated ulceroglandular wound on his right thumb. Nineteen days after the cat bite occurred, a serology test was positive for anti-<jats:italic>Bartonella quintana<\/jats:italic>, but negative for anti-<jats:italic>F. tularensis<\/jats:italic>. Since <jats:italic>Bartonella<\/jats:italic> infections are rare in Sweden, another serology test was analysed 2 weeks later with a positive result for anti-<jats:italic>F. tularensis<\/jats:italic>. The patient was treated with doxycycline for 14 days and recovered. The patient was re-sampled after 18 months to obtain a convalescent sample. The acute and the convalescent samples were both analysed at a reference centre, with negative results for anti-<jats:italic>Bartonella<\/jats:italic> spp. this time.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Conclusion.<\/jats:bold> This case is enlightening about the importance of extending the medical history and re-sampling the patient for antibody detection when the clinical suspicion of cat-bite-associated tularaemia is high. The false-positive result for anti-<jats:italic>B. quintana<\/jats:italic> antibodies may have been due to technical issues with the assay, cross-reactivity or both.<\/jats:p>","DOI":"10.1099\/jmmcr.0.005071","type":"journal-article","created":{"date-parts":[[2016,12,19]],"date-time":"2016-12-19T11:12:21Z","timestamp":1482145941000},"source":"Crossref","is-referenced-by-count":10,"title":["Cat-bite-induced Francisella tularensis infection with a false-positive serological reaction for Bartonella quintana"],"prefix":"10.1099","volume":"4","author":[{"given":"Evelina","family":"Petersson","sequence":"first","affiliation":[{"name":"Department of Medicine, Karlskoga Hospital, Karlskoga, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Athlin","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Faculty of Medicine and Health, \u00d6rebro University, \u00d6rebro SE 701 82, 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