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  • Case Studies and Literature...
    Ponderand, Léa; Guimard, Thomas; Lazaro, Estibaliz; Dupuy, Henry; Peuchant, Olivia; Roch, Nathalie; Deroche, Philippe; Ferry, Tristan; Maurin, Max; Hennebique, Aurélie; Boisset, Sandrine; Pelloux, Isabelle; Caspar, Yvan

    Emerging infectious diseases, 06/2023, Letnik: 29, Številka: 6
    Journal Article

    Tularemia is a zoonotic infection caused by Francisella tularensis. Its most typical manifestations in humans are ulceroglandular and glandular; infections in prosthetic joints are rare. We report 3 cases of F. tularensis subspecies holarctica-related prosthetic joint infection that occurred in France during 2016-2019. We also reviewed relevant literature and found only 5 other cases of Francisella-related prosthetic joint infections worldwide, which we summarized. Among those 8 patients, clinical symptoms appeared 7 days to 19 years after the joint placement and were nonspecific to tularemia. Although positive cultures are typically obtained in only 10% of tularemia cases, strains grew in all 8 of the patients. F. tularensis was initially identified in 2 patients by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry; molecular methods were used for 6 patients. Surgical treatment in conjunction with long-term antimicrobial treatment resulted in favorable outcomes; no relapses were seen after 6 months of follow-up.