Indigenous Infection withFrancisella tularensis holarcticain The Netherlands

Author:

Maraha Boulos1ORCID,Hajer Gerhard2,Sjödin Andreas3,Forsman Mats3ORCID,Paauw Armand4ORCID,Roeselers Guus4,Verspui Ellen5,Frenay Ine1,Notermans Daan6,de Vries Maaike6ORCID,Reubsaet Frans6

Affiliation:

1. Department of Medical Microbiology, Beatrix Hospital and Albert Schweitzer Hospital, P.O. Box 899, 3300 AW Dordrecht, The Netherlands

2. Department of Surgery, Beatrix Hospital, P.O. Box 90, 4200 AB Gorinchem, The Netherlands

3. Division for CBRN Defence and Security, FOI—Swedish Defence Research Agency, Umeå, Sweden

4. Department of Earth, Environmental, and Life Sciences, TNO, P.O. Box 45, 2280 AA Rijswijk, The Netherlands

5. Public Health Service Zuid-Holland Zuid, P.O. Box 166, 3300 AD Dordrecht, The Netherlands

6. Diagnostic Laboratory for Infectious Diseases and Perinatal Screening (LIS), Center for Infectious Disease Control, National Institute of Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA Bilthoven, The Netherlands

Abstract

We report here the first case of indigenous tularemia detected in The Netherlands, a nonendemic country, since 1953. Whole genome DNA sequence analysis assigned the isolate BD11-00177 to the genomic group B.FTNF002-00, which previously has been exclusively reported from Spain, France, Italy, Switzerland, and Germany. The patient had not been abroad for years, which implies that this is an indigenous infection. The current case might predict an upcoming distribution ofFrancisella tularensis holarcticagenomic group B.FTNF002-00 in Europe.

Publisher

Hindawi Limited

Subject

General Medicine

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