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Tularemia in children

https://doi.org/10.22627/2072-8107-2019-18-2-68-70

Abstract

Among patients  with tularemia in Russia, children make up 15%. In the available literature, the description of tularemia in children is practically not found. The article provides two clinical examples of tularemia in children of different ages.

A child aged 2 years with an ulcero-glandular  form had a primary affect, febrile fever for a week, regional lymphadenitis, inflammatory changes in the general blood test. The second child at the age of 8 years with a glandular form had a painful increase in the inguinal lymph node to the right, up to 4 cm without primary affect, febrile fever during the week. The diagnosis of tularemia was confirmed in both cases serologically  in the agglutination  test on the 19th and 6th days of the disease, respectively.

The diagnosis of tularemia caused difficulties for doctors of different specialties (pediatrician, surgeon), which did not allow for the timely appointment of treatment. Etiotropic drug was amikacin.

About the Authors

E. O. Utenkova
Kirov State Medical University
Russian Federation

Elena Utenkova - MD, Professor of the Department of Infectious Diseases.

Kirov.



L. V. Malkova
Infectious clinical hospital
Russian Federation

Larisa Malkova - head of diagnostic Department.

Kirov.



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For citations:


Utenkova E.O., Malkova L.V. Tularemia in children. CHILDREN INFECTIONS. 2019;18(2):68-70. (In Russ.) https://doi.org/10.22627/2072-8107-2019-18-2-68-70

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ISSN 2072-8107 (Print)
ISSN 2618-8139 (Online)