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Tularemia Hand Infection From a Cat Bite-A Case Report
Nathan William Whitsell1, Hillary Becker1
1Sanford Orthopedics and Sports Medicine, Sioux Falls, SD.
Journal of Hand Surgery Global Online
|April 13, 2022
Summary
Tularemia, a bacterial infection, can present atypically, especially after a cat bite. Early diagnosis and doxycycline treatment are crucial for recovery from this rare hand infection.
Area of Science:
- Infectious Diseases
- Bacteriology
Background:
- Tularemia is an uncommon bacterial infection caused by *Francisella tularensis*.
- Its nonspecific presentation and rarity pose diagnostic challenges for healthcare providers.
Observation:
- A case of tularemia transmitted via a cat bite to the hand in a 66-year-old woman is presented.
- Initial symptoms mimicked polymicrobial cellulitis, progressing to fever, malaise, and lymphadenitis.
Findings:
- Blood cultures confirmed *Francisella tularensis* infection.
- Treatment with doxycycline effectively resolved the tularemia infection.
Implications:
- This case highlights the importance of considering tularemia in persistent hand infections, particularly following animal bites.
- Clinicians should maintain a high index of suspicion for tularemia in such scenarios to ensure timely and appropriate treatment.
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