Jpn. J. Infect. Dis., 60 (1), 51-52, 2007

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Short Communication

Comparison of the 2000 and 2005 Outbreaks of Tularemia in the Duzce Region of Turkey

Davut Ozdemir*, Irfan Sencan1, Ali Nihat Annakkaya2, Aynur Karadenizli3, Ertugrul Guclu, Erhan Sert4, Mustafa Emeksiz5 and Ali Kafali5

Department of Clinical Microbiology and Infectious Diseases and 2Department of Chest Diseases, Duzce University Medical School; 4Department of Clinical Microbiology and Infectious Diseases, Tandogan Tokgoz Duzce State Hospital; 5Primary Health Caare Unit, The Office of Ministry of Health, Duzce; 1Department of Clinical Microbiology and Infectious Diseases, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara; 3Department of Micorbiology and Clinical Microbiology, Kocaeli University Medical School, Kocaeli, Turkey

(Received May 1, 2006. Accepted October 23, 2006)


*Corresponding author: Mailing address: Department of Clinical Microbiology and Infectious Diseases, Duzce University Medical School, Duzce 81620, Turkey. Tel: +90-3805414107/2462, Fax: +90-3805414105, E-mail: davutozdemir@hotmail.com


SUMMARY: The tularemia caused by Francisella tularensis, which is considered a biological warfare agent, is a widely distributed zoonosis. In this study, we aimed to compare a 2005 outbreak of tularemia that was confirmed as waterborne by PCR to outbreak of tularemia that was reported as waterborne in 2000 and to investigate the changes of epidemiological characteristics between these two outbreaks that were seen in the same region. In the present study, a total of 11 patients were diagnosed with tularemia. In the 2000 outbreak, oropharyngeal type was observed 19 patients, and ulceroglandular type in 3 patients. In the 2005 outbreak, oropharyngeal type was observed 8 patients, and oculoglndular type in 3 patients. However, our cases are not sufficient to make a conclusion that the characteristics of tularemia seem to be changing.


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