Korean J Clin Pathol.  1998 Mar;18(1):90-95.

A Case of Tularemia Caused by Francisella Tularensis

• Kim MY
• Ha GY
• Ahn WS
• Lim HS
• Kim DH
• Chong YS

Abstract

Tularemia is a major laboratory acquired zoonoses caused by Francisella tularensis that have high virulence, and usually transmitted to humans from direct contact with infected wild animals like rabbits or insect vectors like ticks. Clinical tularemia can be divided with 6 major syndromes that are delineated by the mode of organism aquisition, in which ulceroglandular type is the most common. F. tularensis have 3 different biogroups which have homogeneous antigenecity, type A (biogroup tularensis), type B (biogroup palearctica) and biogroup novicida, and can be confirmed by serology most frequently. In the domestic area, there was no reports of tularemia in humans or presence of bacteria in the reservoirs. Authers experienced a case of tularemia which is suspected as F. tularensis type B, ulceroglandular type. A healthy 40-year-old man admitted the hospital for lymph node swelling in both axillary and upper arm area and for furuncles in both forearm and palm. He contacted with dead rabbit and eated it after cooking before 20 days from admission day. In laboratory cultures, F. tularensis did not grow in any of the routine or anaerobic culture media except for one blood agar plate at 5 days. After subculturing that to cystine containing chocolate agar plate at 37C degree, 5% CO2 incubator, we could see the accelerating growth of colony. In microbiological test, it was oxidase and urease negative. In acid production in cystine trypticase agar base, it was glucose positive and sucrose, maltose, glycerol negative. In agglutinating test, F. tularensis antiserum titer (Difco, USA) with isolates was 1:160 or over and antibody titer to F. tularensis antigen (Difco, USA) was 1:320 or over. Anti-F. tularensis-IF assay and Anti-F. tularensis-indirect-EIA with isolates were positive.

Keyword

Tularemia; Francisella tularensis

MeSH Terms

Adult
Agar
Animals
Animals, Wild
Arm
Bacteria
Cacao
Cooking
Culture Media
Cystine
Forearm
Francisella tularensis*
Francisella*
Furunculosis
Glucose
Glycerol
Humans
Incubators
Insect Vectors
Lymph Nodes
Maltose
Oxidoreductases
Rabbits
Sucrose
Ticks
Tularemia*
Urease
Virulence
Zoonoses
Agar
Culture Media
Cystine
Glucose
Glycerol
Maltose
Oxidoreductases
Sucrose
Urease