TY - JOUR
T1 - Tick-Borne Tularemia
T2 - An Outbreak of Lymphadenopathy in Children
AU - Markowitz, Lauri E.
AU - Hynes, Noreen A.
AU - Cruz, Ponciano
AU - Campos, Edwardo
AU - Barbaree, James M.
AU - Plikaytis, Brian D.
AU - Mosier, David
AU - Kaufmann, Arnold F.
PY - 1985/11/22
Y1 - 1985/11/22
N2 - Between June 1 and July 15, 1984, twenty persons with glandular tularemia were identified on the Lower Brule and Crow Creek Indian reservations in South Dakota. The median age of the patients was 6 years (range, 2 to 20 years). The clinical illness was mild, consisting of fever, headache, and lymphadenopathy. All lymphadenopathy was in the head and neck area. Dermacentor variabilis ticks were identified as the vector. Although the mild clinical illness suggested Francisella tularensis, type B, was the agent, both type A and type B strains of F tularensis were isolated from ticks collected from dogs in the area. Tularemia is generally thought to be a severe systemic illness in North America. This outbreak illustrates that it can be a mild disease and that both type A and type B strains can be tick-borne and coexist in the same ecosystem.
AB - Between June 1 and July 15, 1984, twenty persons with glandular tularemia were identified on the Lower Brule and Crow Creek Indian reservations in South Dakota. The median age of the patients was 6 years (range, 2 to 20 years). The clinical illness was mild, consisting of fever, headache, and lymphadenopathy. All lymphadenopathy was in the head and neck area. Dermacentor variabilis ticks were identified as the vector. Although the mild clinical illness suggested Francisella tularensis, type B, was the agent, both type A and type B strains of F tularensis were isolated from ticks collected from dogs in the area. Tularemia is generally thought to be a severe systemic illness in North America. This outbreak illustrates that it can be a mild disease and that both type A and type B strains can be tick-borne and coexist in the same ecosystem.
UR - http://www.scopus.com/inward/record.url?scp=84944285318&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84944285318&partnerID=8YFLogxK
U2 - 10.1001/jama.1985.03360200074030
DO - 10.1001/jama.1985.03360200074030
M3 - Article
C2 - 4057512
AN - SCOPUS:84944285318
SN - 0098-7484
VL - 254
SP - 2922
EP - 2925
JO - JAMA: The Journal of the American Medical Association
JF - JAMA: The Journal of the American Medical Association
IS - 20
ER -