The great tularemia outbreak in Sivas: Evaluation of 205 cases

IF 2.1 4区医学 Q3 INFECTIOUS DISEASES Diagnostic microbiology and infectious disease Pub Date : 2024-11-07 DOI:10.1016/j.diagmicrobio.2024.116585

Yasemin Çakır Kıymaz , Serkan Bolat , Bilge Katırcı , Özlem Aldemir , Işık Altınkaya , Merdan Mustafa Özcan , Serhat Murat Hopoğlu , Murtaza Öz , Ertuğrul Keskin , Caner Öksüz , Mürşit Hasbek , Ahmet Aksoy , Onur Mahmutoğlu , Duygu Çelik Seyitoğlu , Seyit Ali Büyüktuna , Nazif Elaldi

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Abstract

This study aimed to report a tularemia outbreak in Sivas and describe the epidemiological and diagnostic characteristics of the patients. Patients aged 18 and over followed up with a diagnosis of tularemia in Sivas Cumhuriyet University Hospital, Sivas Numune State Hospital, and Sivas State Hospital Infectious Diseases Outpatient Clinics and wards between November 2023 and May 2024 were evaluated. 205 adult patients with tularemia were included. The most common symptoms were sore throat (73.2 %, n=150), swelling in the neck (70.2 %, n = 144), and fatigue (55.1 %, n = 113). The most common form was oropharyngeal (82.4 %, n = 169) and glandular (14.6 %, n = 30). Lymphadenopathy was detected in 182 (88.8 %) patients, the most is cervical lymphadenopathy (60 %, n = 123). Lymph node drainage/excision was performed on 50 patients (24.3 %). There have been no deaths in this outbreak. This study presents patient data from the tularemia outbreak in Sivas.

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锡瓦斯的土拉菌病大爆发：对 205 个病例的评估。

本研究旨在报告锡瓦斯爆发的土拉菌病疫情，并描述患者的流行病学和诊断特征。研究评估了 2023 年 11 月至 2024 年 5 月期间在西瓦斯库姆胡里耶特大学医院、西瓦斯努姆内国立医院和西瓦斯国立医院传染病门诊和病房随访的被诊断为土拉菌病的 18 岁及以上患者。其中包括 205 名成年土拉菌病患者。最常见的症状是喉咙痛（73.2%，n=150）、颈部肿胀（70.2%，n=144）和疲劳（55.1%，n=113）。最常见的形式是口咽（82.4%，n=169）和腺体（14.6%，n=30）。182名（88.8%）患者出现淋巴结病变，其中最多的是颈淋巴结病变（60%，人数=123）。50名患者（24.3%）接受了淋巴结引流/切除术。此次疫情中没有死亡病例。本研究介绍了锡瓦斯爆发的土拉菌病疫情中的患者数据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diagnostic microbiology and infectious disease 医学-传染病学

CiteScore

5.30

自引率

3.40%

发文量

149

审稿时长

56 days

期刊介绍： Diagnostic Microbiology and Infectious Disease keeps you informed of the latest developments in clinical microbiology and the diagnosis and treatment of infectious diseases. Packed with rigorously peer-reviewed articles and studies in bacteriology, immunology, immunoserology, infectious diseases, mycology, parasitology, and virology, the journal examines new procedures, unusual cases, controversial issues, and important new literature. Diagnostic Microbiology and Infectious Disease distinguished independent editorial board, consisting of experts from many medical specialties, ensures you extensive and authoritative coverage.