Francisella tularensis Peritonitis in Stomach Cancer Patient

Abstract

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.

Keywords

• Tularemia
• peritonitis
• stomach cancer
• capecitabine
• dispatch
• United States