Case Reports in Infectious Diseases (Jan 2013)

Indigenous Infection with Francisella tularensis holarctica in The Netherlands

  • Boulos Maraha,
  • Gerhard Hajer,
  • Andreas Sjödin,
  • Mats Forsman,
  • Armand Paauw,
  • Guus Roeselers,
  • Ellen Verspui,
  • Ine Frenay,
  • Daan Notermans,
  • Maaike de Vries,
  • Frans Reubsaet

DOI
https://doi.org/10.1155/2013/916985
Journal volume & issue
Vol. 2013

Abstract

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We report here the first case of indigenous tularemia detected in The Netherlands, a nonendemic country, since 1953. Whole genome DNA sequence analysis assigned the isolate BD11-00177 to the genomic group B.FTNF002-00, which previously has been exclusively reported from Spain, France, Italy, Switzerland, and Germany. The patient had not been abroad for years, which implies that this is an indigenous infection. The current case might predict an upcoming distribution of Francisella tularensis holarctica genomic group B.FTNF002-00 in Europe.