Treatment of Tularemia in Patient with Chronic Graft-versus-Host Disease

Abstract

We describe a case of human tularemia caused by Francisella tularensis subsp. holarctica in a stem cell transplant recipient with chronic graft-versus-host disease who was receiving levofloxacin prophylaxis. The infection was characterized by pneumonia with septic complications. The patient was successfully treated with doxycycline.

Keywords

• Francisella tularensis ssp. holarctica
• graft-versus-host disease
• immunocompromised host
• vector-borne infections
• bacteria
• chronic graft-versus-host disease