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[Tularemia from a cat bite].

Sheraz Yaqub1, Jørgen V Bjørnholt, Asle E Enger

  • 1Infeksjonsmedisinsk seksjon, Akershus universitetssykehus, 1474 Nordbyhagen.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|December 21, 2004
PubMed
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Ulceroglandular tularaemia is a rare infection that can occur after a cat bite. Physicians should consider this diagnosis for persistent skin infections post-feline contact, with ciprofloxacin proving effective for treatment.

Area of Science:

  • Infectious Diseases
  • Zoonotic Infections
  • Clinical Case Reports

Background:

  • Tularaemia is a bacterial zoonotic disease caused by Francisella tularensis.
  • Cat bites are a potential, though uncommon, transmission route for tularaemia.
  • Ulceroglandular tularaemia presents with skin lesions and swollen lymph nodes.

Observation:

  • A case of ulceroglandular tularaemia in Norway following a cat bite is presented.
  • The patient developed a skin and soft-tissue infection unresponsive to penicillin.
  • Diagnosis was confirmed, and treatment with ciprofloxacin was initiated.

Findings:

  • Successful treatment of ulceroglandular tularaemia with ciprofloxacin.
  • Ciprofloxacin demonstrated efficacy against Francisella tularensis and common feline pathogens.

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  • This case highlights tularaemia as a differential diagnosis in specific clinical scenarios.

    • Implications:

    • Increased physician awareness of tularaemia following feline contact is crucial.
    • Prompt recognition and appropriate antibiotic therapy are key for managing tularaemia.
    • This report expands the understanding of tularaemia transmission and clinical presentation in Norway.