Volume 98, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Tularemia is an infectious zoonosis caused by , an aerobic, noncapsulated, Gram-negative coccobacillus. It is more common in the northern hemisphere, and there are sporadic reports in non-endemic areas. The bacterium is usually transmitted by the bite or feces of a tick or other arthropods such as mosquitoes and horseflies. We report a case of an Italian patient with tularemia after a horsefly bite.


Article metrics loading...

The graphs shown below represent data from March 2017
Loading full text...

Full text loading...



  1. Barel M, Ramond E, Gesbert G, Charbit A, , 2015. The complex amino acid diet of Francisella in infected macrophages. Front Cell Infect Microbiol 5: 9. [Google Scholar]
  2. Polat M, Parlak AH, Ors I, Sırmatel F, , 2011. Erythema nodosum and sweets syndrome in patients with glandular tularemia. Int J Dermatol 50: 866869. [Google Scholar]
  3. Carvalho CL, Lopes de Carvalho I, Zé-Zé L, Núncio MS, Duarte EL, , 2014. Tularaemia: a challenging zoonosis. Comp Immunol Microbiol Infect Dis 37: 8596. [Google Scholar]
  4. Ruiz AI, González A, Miranda A, Torrero V, Gutiérrez C, García M, , 2001. Sweet’s syndrome associated with Francisella tularensis infection. Int J Dermatol 40: 791793. [Google Scholar]
  5. Tezer H, 2015. Tularemia in children, Turkey, September 2009–November 2012. Emerg Infect Dis 21: 17. [Google Scholar]
  6. Maurin M, Pelloux I, Brion JP, Del Banõ JN, Picard A, , 2011. Human tularemia in France, 2006–2010. Clin Infect Dis 53: e133e141. [Google Scholar]
  7. Cerný Z, , 1994. Skin manifestations of tularemia. Int J Dermatol 33: 468470. [Google Scholar]
  8. Hestvik G, 2015. The status of tularemia in Europe in a one-health context: a review. Epidemiol Infect 143: 21372160. [Google Scholar]
  9. D’Alessandro D, Napoli C, Nusca A, Bella A, Funari E, , 2015. Human tularemia in Italy. Is it a re-emerging disease? Epidemiol Infect 143: 21612169. [Google Scholar]
  10. Ernst M, Pilo P, Fleisch F, Glisenti P, , 2015. Tularemia in the southeastern Swiss Alps at 1,700 m above sea level. Infection 43: 111115. [Google Scholar]
  11. Maurin M, Pelloux I, Brion JP, Del Banõ JN, Picard A, , 2011. Human tularemia in France, 2006–2010. Clin Infect Dis 53: e133e141. [Google Scholar]
  12. Centers for Disease Control and Prevention (CDC). Tularemia, Diagnosis & Treatment. Available at: https://www.cdc.gov/tularemia/publications/index.html. Accessed April 22, 2016.
  13. Calin R, 2017. Severe glandular tularemia in a patient treated with anti-tumour necrosis factor for psoriatic arthritis. Int J Infect Dis 60: 13. [Google Scholar]

Data & Media loading...

  • Received : 02 Aug 2017
  • Accepted : 08 Mar 2018
  • Published online : 30 Apr 2018

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error