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Tularemia in children, Turkey, September 2009-November 2012

Hasan Tezer, Aslınur Ozkaya-Parlakay, Hakan Aykan

    Emerging Infectious Diseases
    |December 23, 2014
    PubMed

    Insights

    Tularemia in children is often misdiagnosed. This study in Turkey found that younger children (5-10 years) had better treatment outcomes for this zoonotic disease, unlike older children.

    Area of Science:

    • Pediatrics
    • Infectious Diseases
    • Zoonotic Diseases

    Background:

    • Tularemia, caused by Francisella tularensis, is a zoonotic disease prevalent in the Northern Hemisphere.
    • It is frequently misdiagnosed in pediatric populations.
    • Turkey has endemic and increasing rates of tularemia in both children and adults.

    Purpose of the Study:

    • To evaluate the diagnosis, treatment, and prognosis of tularemia in 100 pediatric patients in Turkey.
    • To identify factors influencing treatment outcomes and relapse rates in children with tularemia.

    Main Methods:

    • Retrospective analysis of 100 pediatric tularemia cases in Turkey.
    • Evaluation of clinical signs, laboratory findings, treatment regimens, and patient demographics.
    • Comparison of treatment response and relapse rates across different age groups and treatment parameters.

    Main Results:

    • The most common findings were cervical lymphadenopathy (92%) and elevated erythrocyte sedimentation rate (89%).
    • Children aged 5-10 years showed higher treatment response and lower relapse rates.
    • Treatment failure was associated with female sex, delayed treatment (≥16 days), and doxycycline use.

    Conclusions:

    • Tularemia diagnosis and management in children require careful consideration of age and treatment timing.
    • Early diagnosis and appropriate treatment are crucial for better outcomes in pediatric tularemia.
    • The increasing incidence of tularemia in Turkey highlights the need for increased awareness and effective public health strategies.

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