Myositis and Septicaemia Caused by Francisella tularensis biovar holarctica

Eliasson, Henrik; Bäck, Erik

doi:10.1080/00365540310000328328

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…Both typhoidal and cutaneous forms have been reported for F. tularensis subsp. holarctica ( 2 , 3 , 9 , 11 , 13 , 14 ). For the typhoidal cases, including ours, all nine reported patients recovered, and the median incubation of blood cultures was 9 days (4 days–3 weeks) ( 3 , 9 , 11 , 13 , 14 ), similar to the 8 days in our ascites culture.…”

Section: Discussionmentioning

confidence: 99%

Francisella tularensisPeritonitis in Stomach Cancer Patient

Han

Safdar

2004

Emerg. Infect. Dis.

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Tularemia with peritonitis developed in a 50-year-old man soon after diagnosis of stomach cancer with metastasis. The ascites grew Francisella tularensis subsp. holarctica , which was identified by sequencing analysis of the 16S rDNA. The infection resolved with antimicrobial treatment. Antibodies detected 4 weeks after onset disappeared after chemotherapy-associated lymphopenia.

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Section: Discussionmentioning

confidence: 99%

Francisella tularensisPeritonitis in Stomach Cancer Patient

Han

Safdar

2004

Emerg. Infect. Dis.

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“…Other causes of myalgias and/or myositis include Rocky Mountain spotted fever due to Rickettsia rickettsii, as well as other rickettsial (R. conorii) infections (21,195); a positive serology is typically used to establish the diagnosis. A case of tularemia myositis has been reported with the diagnosis established by culture showing Francisella tularensis (67). Lyme disease, caused by Borrelia burgdorferi, can cause localized myositis of the orbits and other sites, often near areas of skin or joint involvement (99,186).…”

Section: Other Forms Of Bacterial Myositismentioning

confidence: 99%

Bacterial, Fungal, Parasitic, and Viral Myositis

2008

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SUMMARY Infectious myositis may be caused by a broad range of bacterial, fungal, parasitic, and viral agents. Infectious myositis is overall uncommon given the relative resistance of the musculature to infection. For example, inciting events, including trauma, surgery, or the presence of foreign bodies or devitalized tissue, are often present in cases of bacterial myositis. Bacterial causes are categorized by clinical presentation, anatomic location, and causative organisms into the categories of pyomyositis, psoas abscess, Staphylococcus aureus myositis, group A streptococcal necrotizing myositis, group B streptococcal myositis, clostridial gas gangrene, and nonclostridial myositis. Fungal myositis is rare and usually occurs among immunocompromised hosts. Parasitic myositis is most commonly a result of trichinosis or cystericercosis, but other protozoa or helminths may be involved. A parasitic cause of myositis is suggested by the travel history and presence of eosinophilia. Viruses may cause diffuse muscle involvement with clinical manifestations, such as benign acute myositis (most commonly due to influenza virus), pleurodynia (coxsackievirus B), acute rhabdomyolysis, or an immune-mediated polymyositis. The diagnosis of myositis is suggested by the clinical picture and radiologic imaging, and the etiologic agent is confirmed by microbiologic or serologic testing. Therapy is based on the clinical presentation and the underlying pathogen.

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“…6,49 Other causes of myalgias are Rickettsia rickettsii (Rocky Mountain spotted fever), Francisella tularensis (Tularemia), Borrelia burgdorferi (Lyme disease), and diagnosis is based on serological tests. 6,50,51 Muscle involvement in Mycobacterium infections is seen in < 1% of the cases. Myositis develops slowly and is insidious, physical exam shows a mass or swelling in the muscle and adenopathy is often absent.…”

Section: Infected Vascular Gangrenementioning

confidence: 99%

Infectious Myositis

Murala

Ram

Vijayakumar

et al. 2021

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Infectious myositis (IM), is the infection of the skeletal muscle tissue (particularly voluntary muscle), which is characterized by swelling, pain, tenderness and/or weakness and is most commonly caused by bacteria, frequently by Staphylococcal and Streptococcal species. Acute bacterial myositis is the diffuse infection of the muscle without an intramuscular abscess. Group A Streptococcus (GAS), is the most common cause of cellulitis and various muscular infections like pyomyositis, subacute myositis, acute myositis and malignant myositis. Viral agents are the most common cause of nonbacterial infectious myositis. Among viruses, influenza is the most frequent causative agent reported to cause viral myositis. Fungal infections of the musculature are relatively uncommon; most of the cases are seen in immunocompromised patients and the diagnosis is established through biopsy with the culture of the specimens. History of food ingestion along with eosinophilia points towards a parasitic causative agent.

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Myositis and Septicaemia Caused by Francisella tularensis biovar holarctica

Abstract: A case of tularaemia presenting with severe septicaemia and myositis is reported. The infection was presumed to be acquired by a bite from the horse fly Haematopota pluvialis, also known as the rain fly.

Cited by 5 publications

References 7 publications

Francisella tularensisPeritonitis in Stomach Cancer Patient

Francisella tularensisPeritonitis in Stomach Cancer Patient

Bacterial, Fungal, Parasitic, and Viral Myositis

Infectious Myositis

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