| Tularemic meningitis in the United States. | |
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MedLine Citation:
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PMID: 19364939 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Tularemia is a zoonotic disease caused by Francisella tularensis. Tularemia presents with various clinical illnesses, but meningitis is rare. OBJECTIVES: To describe a patient who developed typhoidal tularemia with atypical acute meningitis and to review the pathogenesis, clinical and laboratory features, and antibiotic drug treatment of reported cases of tularemic meningitis. DESIGN: Case study and literature review. SETTING: University hospital, tertiary care center. PATIENT: A 21-year-old healthy man who had recently worked as a professional landscaper in the Albuquerque, New Mexico, metropolitan area developed fever, malaise, headache, and a stiff neck. MAIN OUTCOME MEASURES: Francisella tularensis cerebrospinal fluid culture, antibiotic sensitivity, transmission source, and outcome. RESULTS: The cerebrospinal fluid contained a lymphocytic pleocytosis, negative Gram stain, and F tularensis isolation with chloramphenicol and streptomycin antibiotic sensitivities. CONCLUSIONS: Although tularemia is uncommon and tularemic meningitis is rare in the United States, attention is drawn to the increasing number of cases in professional landscapers, the atypical cerebrospinal fluid picture, and unusual antibiotic sensitivities. |
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Authors:
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Diedre M Hofinger; Luzma Cardona; Gregory J Mertz; Larry E Davis |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Archives of neurology Volume: 66 ISSN: 1538-3687 ISO Abbreviation: Arch. Neurol. Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-04-14 Completed Date: 2009-04-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372436 Medline TA: Arch Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 523-7 Citation Subset: AIM; IM |
Affiliation:
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Medicine Service, New Mexico VA Health Care System, 1501 San Pedro Dr SE, Albuquerque, NM 87108, USA. dhofinger@salud.unm.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Oral Adult Chloramphenicol / administration & dosage, analogs & derivatives Ciprofloxacin / administration & dosage Diagnosis, Differential Drug Therapy, Combination Francisella tularensis* / drug effects Humans Infusions, Intravenous Male Meningitis / diagnosis*, drug therapy New Mexico Occupational Diseases / diagnosis*, drug therapy Streptomycin / administration & dosage Tularemia / diagnosis*, drug therapy United States |
| Chemical | |
Reg. No./Substance:
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3544-94-3/chloramphenicol succinate; 56-75-7/Chloramphenicol; 57-92-1/Streptomycin; 85721-33-1/Ciprofloxacin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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