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Francisella tularensis human infections in a village of northwest Iran

Esmaeili, Saber (author)
National Reference laboratory for Plague, Tularemia and Q fever, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Akanlu, Hamadan, Kabudar Ahang, Iran; Department of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Tehran, Iran
Rohani, Mahdi (author)
National Reference laboratory for Plague, Tularemia and Q fever, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Akanlu, Hamadan, Kabudar Ahang, Iran; Department of Microbiology, Pasteur Institute of Iran, Tehran, Iran
Ghasemi, Ahmad (author)
National Reference laboratory for Plague, Tularemia and Q fever, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Akanlu, Hamadan, Kabudar Ahang, Iran; Department of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Tehran, Iran; Department of Bacteriology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
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Gouya, Mohammad Mehdi (author)
Center for Communicable Disease Control, Ministry of Health and Medical Education, Tehran, Iran
Khayatzadeh, Simin (author)
Department of Communicable Disease Control, Deputy of Health, Tabriz University of Medical Sciences, Tabriz, Iran
Mahmoudi, Ahmad (author)
Department of Biology, Faculty of Science, Urmia University, Urmia, Iran
Ahangari Cohan, Hossein (author)
National Reference laboratory for Plague, Tularemia and Q fever, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Akanlu, Hamadan, Kabudar Ahang, Iran; Department of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Tehran, Iran
Johansson, Anders, 1966- (author)
Umeå universitet,Institutionen för klinisk mikrobiologi,Molekylär Infektionsmedicin, Sverige (MIMS)
Maurin, Max (author)
Universite Grenoble Alpes, CNRS, Grenoble INP, CHU Grenoble Alpes, TIMC-IMAG, 38000 Grenoble, Grenoble, France
Mostafavi, Ehsan (author)
National Reference laboratory for Plague, Tularemia and Q fever, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Akanlu, Hamadan, Kabudar Ahang, Iran; Department of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Tehran, Iran
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 (creator_code:org_t)
2021-03-31
2021
English.
In: BMC Infectious Diseases. - : Springer Science and Business Media LLC. - 1471-2334. ; 21:1
Related links:
https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
https://bmcinfectdis...
https://urn.kb.se/re...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: Recent seroepidemiological studies have suggested that tularemia could be an endemic bacterial zoonosis in Iran.Methods: From January 2016 to June 2018, disease cases characterized by fever, cervical lymphadenopathy and ocular involvement were reported in Youzband Village of Kaleybar County, in the East Azerbaijan Province, northwestern Iran. Diagnostic tests included Francisella tularensis serology (including tube agglutination test and ELISA), PCR, and culture.Results: Among 11 examined case-patients, the tularemia tube agglutination test was positive in ten and borderline in one. PCR detected the F. tularensis ISFtu2 elements and fopA gene in one rodent and a spring water sample from the same geographic area.Conclusions: Based on the clinical manifestations of the disease suggesting an oropharyngeal form of tularemia, serology results in case patients, and F. tularensis detection in the local fauna and aquatic environment, the water supply of the village was the likely source of the tularemia outbreak. Intervention such as dredging and chlorination of the main water storage tank of the village and training of villagers and health care workers in preventive measures and treatment of the illness helped control the infection.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Infectious Medicine (hsv//eng)

Keyword

Chlorination
Francisella tularensis
Rodent
Tularemia
Water

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ref (subject category)
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