Dermatological aspects of tularaemia: a study of 168 cases

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dc.authorid0000-0001-9226-5134
dc.authorid0000-0003-3795-0731
dc.authorid0000-0003-0442-5981
dc.contributor.authorPolat, Mualla
dc.contributor.authorKarapınar, Tekden
dc.contributor.authorSırmatel, Fatma
dc.date.accessioned2021-06-23T19:49:29Z
dc.date.available2021-06-23T19:49:29Z
dc.date.issued2018
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractBackgroundTularaemia is a zoonotic infectious disease caused by Francisella tularensis, an aerobic, uncapsulated, gram-negative coccobacillus. Several case reports have appeared on the dermatological manifestations of tularaemia, but relatively few longer-term studies are available. AimTo identify skin features of tularaemia that aid in its diagnosis. MethodsIn total, 168 patients (68 male, 100 female) diagnosed with tularaemia were retrospectively examined. All dermatological data for these patients were evaluated. ResultsOf the 168 patients, 149 (88.69%) had tularaemia of the oropharyngeal type, 12 (7.73%) had the ulceroglandular type, 5 (2.9%) had the oculoglandular type and 2 (0.59%) had the pulmonary type. Secondary skin manifestations were found in 26 patients (15.47%). Sweet syndrome (SS) was found in 11 patients (6.54%), most of whom presented with the oropharyngeal form, while erythema nodosum (EN) was found in 7 patients (4.16%), dermatitis in 2 (1.19%), urticaria in 2 (1.19%), acneiform eruptions in 1 (0.59%), vasculitis-like eruptions in 1 (0.59%) and SS + EN in 1 (0.59%). Patients with the oropharyngeal form had a statistically significant (P < 0.001) higher number of skin findings than patients with the other forms. ConclusionsIn clinical practice, tularaemia may present with various cutaneous manifestations, and dermatologists who work in endemic regions must be aware of the possibility of this disease.en_US
dc.identifier.doi10.1111/ced.13548
dc.identifier.endpage774en_US
dc.identifier.issn0307-6938
dc.identifier.issn1365-2230
dc.identifier.issue7en_US
dc.identifier.pmid29761532en_US
dc.identifier.scopus2-s2.0-85047510217en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage770en_US
dc.identifier.urihttps://doi.org/10.1111/ced.13548
dc.identifier.urihttps://hdl.handle.net/20.500.12491/9523
dc.identifier.volume43en_US
dc.identifier.wosWOS:000443999400003en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorPolat, Mualla
dc.institutionauthorKarapınar, Tekden
dc.institutionauthorSırmatel, Fatma
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofClinical And Experimental Dermatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTularaemiaen_US
dc.subjectDermatological Aspects
dc.subjectCase
dc.titleDermatological aspects of tularaemia: a study of 168 casesen_US
dc.typeArticleen_US

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