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[Tularemia after tick bite in Vestfold]

A B Brantsaeter1, T Hoel, T I Kristianslund

  • 1Infeksjonsmedisinsk avdeling, Medisinsk klinikk, Ullevål sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|May 6, 1998
PubMed
Summary

Tularaemia transmission via tick bites is reported in Norway for the first time. Early diagnosis and quinolone treatment, such as ciprofloxacin, are crucial for effective tularaemia management.

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Area of Science:

  • Infectious Diseases
  • Epidemiology
  • Public Health

Background:

  • Tularaemia is endemic in Norway, primarily associated with direct contact with rodents or their excreta.
  • Insect and tick vectors are recognized for tularaemia transmission globally, but this route was undocumented in Norway.

Observation:

  • Three cases of ulceroglandular tularaemia were confirmed serologically on a previously unaffected island in Southern Norway.
  • Two patients reported preceding tick bites; the third may have contracted tularaemia from a tick or insect.
  • Delayed diagnosis occurred in all three cases, impacting timely treatment initiation.

Findings:

  • This study describes the first documented cases of tularaemia in Norway potentially transmitted by arthropod vectors, specifically ticks.

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  • Ulceroglandular tularaemia was confirmed, highlighting a new transmission pathway in the region.
  • Late diagnosis complicated the clinical course for all patients.

    • Implications:

    • The findings suggest that tick-borne transmission of tularaemia is a relevant epidemiological factor in Norway.
    • Prompt diagnosis and treatment are essential, with quinolones like ciprofloxacin showing efficacy.
    • Public health awareness regarding tick-borne tularaemia should be increased in Norway.