Ulceroglandular tularemia in a toddler in Germany after a mosquito bite.

European Journal of Pediatrics
Christof A HankeChristian von Schnakenburg

Abstract

Although tularemia is a long-known disease, its significance had diminished over the last decades in Middle Europe. However, over the past years, there is new evidence suggesting that tularemia has re-emerged in Germany. In 2007, the highest number of human cases for almost 50 years has been notified. Beside typical vectors, new ways of transmission seem to gain significance. So far, mosquito bite-transmitted tularemia has only been known from Scandinavia but not from Middle Europe. We report the first case of a 1-year-old toddler from Southwestern Germany with mosquito bite-associated ulceroglandular tularaemia. The new and interesting features of this case are the young age of the patient and the unusual transmission route. The available data suggesting changes in the epidemiology for tularemia in Germany are reviewed. This is an interesting case of infantile tularemia with a very unusual transmission route, highlighting ongoing changes in the epidemiology of tularemia in Germany.

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Citations

May 27, 2011·Vector Borne and Zoonotic Diseases·Anna MoniuszkoPiotr Czupryna
May 3, 2011·Emerging Infectious Diseases·Jan O LundströmJohanna Thelaus
Oct 23, 2014·Epidemiology and Infection·D D'AlessandroE Funari
May 29, 2016·Developmental and Comparative Immunology·Akanksha KaushalMonique L van Hoek
Jul 10, 2019·Emerging Microbes & Infections·Aurélie HennebiqueMax Maurin
Mar 6, 2018·Frontiers in Cellular and Infection Microbiology·Mirko FaberRoland Grunow
Dec 1, 2020·Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft für Kinderheilkunde·M KlugJ Peters
Dec 31, 2020·Microorganisms·Zakaria AbdellahoumIdir Bitam
Dec 10, 2020·Microorganisms·Jörg LindeHerbert Tomaso

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