Infectious Disease and Intensive Care Unit, CHU, Rennes, France.
J Clin Microbiol. 2013 Oct;51(10):3454-5. doi: 10.1128/JCM.01018-13. Epub 2013 Jul 31.
Common presentations of tularemia include pneumonia and ulceroglandular, oropharyngeal, or typhoidal disease. Neuromeningeal involvement is extremely rare. We report a case of a severe rhombencephalitis due to Francisella tularensis. Diagnosis was possible thanks to a very precise interview, and the patient dramatically improved after specific antibiotherapy.
土拉热的常见表现包括肺炎和溃疡腺型、口咽型或伤寒型疾病。神经脑膜受累极为罕见。我们报告了一例由土拉弗朗西斯菌引起的严重脑脊髓炎。由于非常准确的访谈,诊断成为可能,并且患者在接受特定的抗生素治疗后病情显著改善。