Title |
Tularaemia after tick exposure - typical presentation of rare disease misdiagnosed as atypical presentation of common diseases: a case report
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Published in |
Cases Journal, July 2009
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DOI | 10.4076/1757-1626-2-7954 |
Pubmed ID | |
Authors |
Karolina Switaj, Maria Olszynska-Krowicka, Hanna Zarnowska-Prymek, Piotr Zaborowski |
Abstract |
A 44-year-old female was admitted because of tender, enlarged inguinal lymph nodes with a history of tick bite five weeks earlier. In the place of a tick bite on the skin a small ulcer was present. The primary symptoms before admission suggested typical diseases related to tick bite such as Lyme borreliosis and tick-borne encephalitis, what corresponded with positive IgM ELISA test for Lyme borreliosis. The course of disease however clarified the diagnosis of tularaemia, which is a relatively rare disease in Poland (6 cases per 40 million population are reported annually). The ultimate diagnosis was confirmed by serological tests. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 18 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 3 | 17% |
Researcher | 3 | 17% |
Other | 2 | 11% |
Student > Master | 2 | 11% |
Professor | 2 | 11% |
Other | 3 | 17% |
Unknown | 3 | 17% |
Readers by discipline | Count | As % |
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Immunology and Microbiology | 4 | 22% |
Medicine and Dentistry | 3 | 17% |
Agricultural and Biological Sciences | 2 | 11% |
Nursing and Health Professions | 2 | 11% |
Social Sciences | 1 | 6% |
Other | 1 | 6% |
Unknown | 5 | 28% |