• Acta Medica Port · Feb 2022

    Case Reports

    A Multidisciplinary Approach to the First Autochthonous Case of Tularemia Reported in Portugal.

    • Flávia Cunha, Isabel Lopes de Carvalho, Carolina Torres, and Raquel Gonçalves.
    • Serviço de Doenças Infeciosas. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
    • Acta Medica Port. 2022 Feb 1; 35 (2).

    AbstractFrancisella tularensis, a Gram-negative coccobacillus, is a highly virulent pathogen responsible for several zoonotic outbreaks in Europe in the last few decades. The authors report the case of a 46-year-old male who developed fever, myalgias and headache a week after having contact with animal feed contaminated by rodents. Serological tests were positive for Francisella tularensis. This first case of autochthonous tularemia in Portugal led to an intensive investigation involving several healthcare services and national governmental authorities. The authors address the possible underdiagnosis of this infection in the country.

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