Tularemia as a cause of lymphadenopathy in adults and children

Abstract

Objective: to study the clinical and epidemiological features of tularemia to identify its differences from other diseases. flowing with lymphadenopathy. Materials and methods The study included patients living in the Kirov region undergoing tularemia from 2012 to 2018. For the laboratory confirmation of the diagnosis of tularemia used agglutination with tularemia antigen and a method of solid phase ELISA. The results Among the patients were dominated by citizens (63.4%). All cases were recorded in the summer. Infection usually occurred during the bites of flying insects. The most common manifestations of the disease were fever and lymphadenitis. Among the clinical forms prevailed ulcero – glandular (71,7%). The correct diagnosis at the prehospital stage is exhibited only in 28.6% of patients. Conclusion Tularemia remains an actual natural focal infection. To reduce the incidence of disease, it is necessary to increase the volume of vaccination of the population and regularly improve the knowledge of physicians with regard to endemic infections in the region.