Confirmed Case of Longstanding Respiratory Francisella tularensis holarctica Infection: Nebraska, 2022.

Rachael Birn,Jeff Hamik, Lana Dayne,Justin Frederick, Amanda Bartling,Peter C Iwen,Adam Wells,Matthew Donahue

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America（2024）

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摘要

A male patient with distant history of extensive rabbit contact and pulmonary nodules for 6 years developed empyema. Francisella tularensis holarctica was isolated from thoracentesis fluid. Retrospective immunohistochemical examination of a pulmonary nodule, biopsied 3 years prior, was immunoreactive for F. tularensis. These findings suggest the potential for chronic tularemia.

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