Epidemiology Unit, Nebraska Department of Health and Human Services, Lincoln, Nebraska, USA.
Applied Epidemiology Fellow, Council of State and Territorial Epidemiologists, Atlanta, Georgia, USA.
Clin Infect Dis. 2024 Jan 31;78(Suppl 1):S64-S66. doi: 10.1093/cid/ciad669.
A male patient with distant history of extensive rabbit contact and pulmonary nodules for 6 years developed empyema. Francisella tularensis holarctica was isolated from thoracentesis fluid. Retrospective immunohistochemical examination of a pulmonary nodule, biopsied 3 years prior, was immunoreactive for F. tularensis. These findings suggest the potential for chronic tularemia.
一名有远距离接触大量兔子病史的男性患者，出现了肺结节 6 年，并发脓胸。从胸腔穿刺液中分离出了弗氏土拉伦菌。对 3 年前活检的肺结节进行回顾性免疫组化检查，发现对弗氏土拉伦菌呈免疫反应。这些发现提示存在慢性土拉菌病的可能。
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