Mihelčić Mirna, Marečić Valentina, Ožanič Mateja, Kelava Ina, Knežević Maša, Šantić Marina
Faculty of Medicine, University of Rijeka, Brace Branchetta 20, 51 000 Rijeka, Croatia.
Microorganisms. 2020 May 12;8(5):721. doi: 10.3390/microorganisms8050721.
Tularemia is a zoonotic disease caused by . A large number of recent studies have provided an update on the disease characteristics and the distribution across Europe. In Croatia, most of the clinical cases, as well as the reports of the disease in animals, date from the 20th century. In that period, epidemic and epizootic research had given detailed information about endemic regions and their characteristics, including suspected animal hosts and vectors. The region along the middle course of the Sava River, called Middle Posavina, is described as an endemic region, i.e., a "natural focus" of tularemia, in Croatia. In the 21st century, cases of human tularemia are being reported sporadically, with ulceloglandular, oropharyngeal and typhoid forms of disease. A majority of the described cases are linked with the consumption of contaminated food or water. The disease outbreaks still occur in areas along the course of the river Sava and in northwest Croatia. In this review article, we have summarized epidemiologic and epizootic data of tularemia in the past and in recent Croatian history.
兔热病是一种由……引起的人畜共患病。最近的大量研究提供了有关该疾病特征及其在欧洲分布情况的最新信息。在克罗地亚，大多数临床病例以及动物疾病报告可追溯到20世纪。在那个时期，流行病学和动物流行病学研究已经给出了有关流行地区及其特征的详细信息，包括疑似动物宿主和传播媒介。萨瓦河中游沿岸地区，即中波萨维纳，在克罗地亚被描述为一个流行地区，即兔热病的“自然疫源地”。在21世纪，散发性人间兔热病病例时有报告，有溃疡腺型、口咽型和伤寒型疾病。所描述的大多数病例与食用受污染的食物或水有关。疾病暴发仍发生在萨瓦河沿岸地区和克罗地亚西北部。在这篇综述文章中，我们总结了克罗地亚过去和近期历史上兔热病的流行病学和动物流行病学数据。
