<i>Francisella tularensis</i> Bone and Joint Infections: United States, 2004

Francisella tularensis Bone and Joint Infections: United States, 2004–2023

Published:2024-01-31 Issue:Supplement_1 Volume:78 Page:S67-S70
ISSN:1058-4838
Container-title:Clinical Infectious Diseases
language:en
Short-container-title:

Author:

Beeson Amy M¹^ORCID,Baker Molly²,Dell BreeAnna³,Schnitzler Hannah⁴,Oltean Hanna N⁴,Woodall Tracy⁵,Riedo Francis⁶,Schwartz Amy¹,Petersen Jeannine¹,Hinckley Alison F¹,Marx Grace E¹

Affiliation:

1. Centers for Disease Control and Prevention , Division of Vector-Borne Diseases, Fort Collins, Colorado , USA

2. Missouri Department of Health and Senior Services , Jefferson City, Missouri , USA

3. Public Health—Seattle and King County , Seattle, Washington , USA

4. Washington State Department of Health , Shoreline, Washington , USA

5. Colorado Department of Public Health and Environment , Denver, Colorado , USA

6. EvergreenHealth , Kirkland, Washington , USA

Abstract

Abstract Tularemia is caused by the highly infectious bacterium Francisella tularensis, which is recognized as a Tier 1 bioterrorism agent. Tularemia has a range of recognized clinical manifestations, but fewer than 20 bone or joint infections from 6 countries have been reported in the literature to date. This series includes 13 cases of F. tularensis septic arthritis or osteomyelitis in the United States during 2004–2023 and describes exposures, clinical presentation, diagnosis, and outcomes for this rare but severe form of tularemia. Clinicians should consider F. tularensis in patients with compatible exposures or a history of joint replacement or immunosuppression.

Publisher

Oxford University Press (OUP)

Link

https://academic.oup.com/cid/article-pdf/78/Supplement_1/S67/56487301/ciad688.pdf

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