{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T09:11:46Z","timestamp":1709889106136},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/>Tularaemia is a rare infectious disease caused by <em>Francisella tularensis<\/em>. In Poland, <em>F. tularensis<\/em> infections\u00a0are caused by <em>F. tularensis subspecies holarctica<\/em> (type B). The disease is widespread among multiple animal\u00a0species. Humans are usually infected via insect bites and less commonly by other routes (contact with animals,\u00a0inhalation of contaminated aerosol or dust, or oral route). In recent years, the prevalence of tularaemia in Poland\u00a0was slightly more than dozen cases per year. Depending on the route of infection, the disease has various\u00a0clinical presentations, of which the most common is the ulceroglandular form. We present a typical case of this\u00a0clinical form, along with information on epidemiology, clinical presentation, diagnosis, and treatment of this\u00a0rare disease. Because of a low prevalence and miscellaneous clinical features, the diagnosis is often delayed.<br \/>Tularaemia should be included in the differential diagnosis of fever with local lymph node enlargement as well\u00a0as atypical cases of upper airway infections and pneumonia.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/>Tularemia jest rzadk\u0105 chorob\u0105 zaka\u017an\u0105, powodowan\u0105 przez zaka\u017cenie <em>Francisella tularensis<\/em>. W Polsce zaka\u017cenia\u00a0powoduje podgatunek <em>F. tularensis subspecies holoarctica<\/em> (typ B). Tularemia jest rozpowszechniona\u00a0w\u015br\u00f3d wielu gatunk\u00f3w zwierz\u0105t. Do zaka\u017cenia ludzi dochodzi najcz\u0119\u015bciej wskutek przeniesienia bakterii przez\u00a0ugryzienie owada, rzadziej innymi drogami (kontakt z zaka\u017conym zwierz\u0119ciem, inhalacja zaka\u017conego aerozolu\u00a0lub py\u0142u albo drog\u0105 doustn\u0105). Cz\u0119sto\u015b\u0107 choroby w Polsce w ostatnich latach to oko\u0142o kilkunastu przypadk\u00f3w\u00a0rocznie. W zale\u017cno\u015bci od drogi zaka\u017cenia tularemia ma wiele postaci, z kt\u00f3rych najcz\u0119stsza to wrzodziej\u0105co-w\u0119z\u0142owa. W artykule opisano typowy przypadek tej postaci tularemii, jak r\u00f3wnie\u017c przedstawiono informacje\u00a0na temat epidemiologii, postaci klinicznych, diagnostyki i leczenia tej rzadkiej choroby. Ze wzgl\u0119du na ma\u0142\u0105\u00a0cz\u0119sto\u015b\u0107 wyst\u0119powania i r\u00f3\u017cnorodny obraz kliniczny rozpoznanie cz\u0119sto bywa op\u00f3\u017anione, dlatego nale\u017cy pami\u0119ta\u0107\u00a0o uwzgl\u0119dnieniu tularemii w diagnostyce r\u00f3\u017cnicowej m.in. gor\u0105czki z lokalnym powi\u0119kszeniem w\u0119z\u0142\u00f3w\u00a0ch\u0142onnych, jak r\u00f3wnie\u017c atypowych infekcji g\u00f3rnych dr\u00f3g oddechowych i p\u0142uc.<\/p><\/jats:p>","DOI":"10.32394\/pe.75.17","type":"journal-article","created":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T13:42:43Z","timestamp":1635169363000},"page":"184-191","source":"Crossref","is-referenced-by-count":0,"title":["Tularaemia: a case report and review"],"prefix":"10.32394","volume":"75","author":[{"given":"F","family":"Mejza","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Kruczak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"S\u0142adek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2021,10,15]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Tularemia \u2013 opis przypadku i om\u00f3wienie choroby"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180999-101560","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180999-101560","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:44:56Z","timestamp":1709887496000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/Tularaemia-a-case-report-and-review,180999,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,15]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021]]}},"alternative-id":["180999"],"URL":"https:\/\/doi.org\/10.32394\/pe.75.17","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,15]]}}}