Evaluation of patients with Tularemia in Bolu province in northwestern Anatolia, Turkey

dc.authorid0000-0001-6133-9604en_US
dc.authorid0000-0003-0727-1797en_US
dc.authorid0000-0002-2119-9448en_US
dc.authorid0000-0001-9919-6055
dc.contributor.authorMengeloğlu, Zafer
dc.contributor.authorDuran, Arif
dc.contributor.authorHakyemez, İsmail Necati
dc.contributor.authorOcak, Tarık
dc.contributor.authorKüçükbayrak, Abdülkadir
dc.contributor.authorAkdeniz, Hayrettin
dc.contributor.authorTaş, Tekin
dc.date.accessioned2021-06-23T19:36:12Z
dc.date.available2021-06-23T19:36:12Z
dc.date.issued2014
dc.departmentBAİBÜ, Tıp Fakültesi, Temel Tıp Bilimleri Bölümüen_US
dc.description.abstractIntroduction: Tularemia is a zoonotic disease caused by Francisella tularensis. Here we present an epidemic occurring in Bolu province, located in northwestern Anatolia in Turkey, and some features of the cases. Methodology: The data was provided by the Bolu Provincial Health Directorate. All of the antibody response tests were studied in the National Health Institute (formerly named Refik Saydam Hygiene Department), the reference laboratory of the Ministry of Health of the Turkish Republic. A total of 393 individuals were tested by microagglutination test (MAT) for tularemia between 2006 and 2011. A total of 218 patients whose demographical data were available were included in the study; 83 were accepted as the patient group and 135 were the controls. Of the patients, 31 (37.3%) were male and 52 (62.7%) were female. Results: Fever (p < 0.001), URTI symptoms (p = 0.047), conjunctivitis (p = 0.004), and rash (p = 0.026) were significantly higher in the patient group. A positive association was found between MAT and fever (r = 0.324; p < 0.001), and a negative association was found between MAT and both lymphoadenopathy (r = -0.25; p = 0.013) and chills (r = -0.218; p = 0.035). Higher MAT titers were detected in oropharyngeal tularemia (r = 0.306; p = 0.003). Conclusions: In conclusion, tularemia must be considered in differential diagnosis in patients presenting with fever and LAP in non-endemic regions. Furthermore, water sources and contact with rodents must be investigated.en_US
dc.identifier.doi10.3855/jidc.3952
dc.identifier.endpage319en_US
dc.identifier.issn1972-2680
dc.identifier.issue3en_US
dc.identifier.pmid24619262en_US
dc.identifier.scopus2-s2.0-84896072329en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage315en_US
dc.identifier.urihttps://doi.org/10.3855/jidc.3952
dc.identifier.urihttps://hdl.handle.net/20.500.12491/7949
dc.identifier.volume8en_US
dc.identifier.wosWOS:000339926700010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorMengeloğlu, Zafer
dc.institutionauthorDuran, Arif
dc.institutionauthorOcak, Tarık
dc.institutionauthorKüçükbayrak, Abdülkadir
dc.institutionauthorAkdeniz, Hayrettin
dc.institutionauthorTaş, Tekin
dc.language.isoenen_US
dc.publisherJ Infection Developing Countriesen_US
dc.relation.ispartofJournal Of Infection In Developing Countriesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectTularemiaen_US
dc.subjectTurkeyen_US
dc.subjectBoluen_US
dc.subjectMicroagglutinationen_US
dc.titleEvaluation of patients with Tularemia in Bolu province in northwestern Anatolia, Turkeyen_US
dc.typeArticleen_US

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