Predicting tularemia with clinical, laboratory and demographical findings in the ED

Derya Yapar; Ali Kemal Erenler; Özlem Terzi; Özlem Akdoğan; Yasemin Ece; Nurcan Baykam

doi:10.1016/j.ajem.2015.10.034

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Predicting tularemia with clinical, laboratory and demographical findings in the ED

Derya Yapar, MD^a^,

Email the author MD Derya Yapar

Ali Kemal Erenler, MD^b^,^,

Correspondence information about the author MD Ali Kemal Erenler

Email the author MD Ali Kemal Erenler

Özlem Terzi, MD^c^,

Email the author MD Özlem Terzi

Özlem Akdoğan, MD^a^,

Email the author MD Özlem Akdoğan

Yasemin Ece, MD^d^,

Email the author MD Yasemin Ece

Nurcan Baykam, MD^a^,

Email the author MD Nurcan Baykam

DOI: https://doi.org/10.1016/j.ajem.2015.10.034

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Abstract

Introduction

We aimed to determine clinical, laboratory and demographical characteristics of tularemia on admission to Emergency Department (ED).

Material and Methods

Medical data of 317 patients admitted to ED and subsequently hospitalized with suspected tularemia between January 1, 2011, and May 31, 2015, were collected. Patients were divided into 2 groups according to microagglutination test results, as tularemia (+) and tularemia (−).

Results

Of the 317 patients involved, 49 were found to be tularemia (+) and 268 were tularemia (−). Mean age of the tularemia (+) patients was found to be higher than that of tularemia (−) patients. When compared to tularemia (−) patients, a significant portion of patients in tularemia (+) patients were elderly, living in rural areas and had contact with rodents. When clinical and laboratory findings of the 2 groups were compared, any statistical significance could not be determined.

Conclusion

Tularemia is a disease of elderly people living in rural areas. Contact with rodents also increases risk of tularemia in suspected patients.

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☆Conflict of interests and funding: None to declare.

Predicting tularemia with clinical, laboratory and demographical findings in the ED

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Article Info

Abstract

Introduction

Material and Methods

Results

Conclusion

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