Abstract

Objectives: In this study we aim to investigate the clinical and laboratory features of tularemia disease.

Patients and Methods: Between January 2009 and June 2012, medical data of 89 patients (38 males, 51 females; mean age 36±1.9 years; range 10 to 80 years) who were admitted to our hospital was retrospectively analyzed. Demographic characteristics of the patients, physical examination and laboratory findings and the treatment which they received were recorded. Descriptive statistical analysis was performed.

Results: Sixty-eight (76.4%) patients were admitted to our hospital in 2010 and most of these referrals (n=64; 74.9%) were in winter (January, February and March). Of the patients, 84.7% were residing in rural areas and presented mostly with the complaints of high fever, sore throat, and swollen neck on admission. Cervical lymphadenopathy was observed in 83.1% of the patients.

Conclusion: Tularemia should be considered in the differential diagnosis for the patients living in endemic regions and presenting with high fever, sore throat and swollen neck. A multidisciplinary approach should be also adopted considered for the diagnosis, treatment, and prevention of the disease.