Open AccessEpidemic of tularaemia in Nish district
Author(s) -
Velimir Kostić,
Branislav Jovanović,
Milijanka Krstić,
Maja Jovanović,
Snežana Škorić,
Zoran Veličković,
Branislav Lako
Publication year - 2002
Publication title -
srpski arhiv za celokupno lekarstvo
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 17
eISSN - 2406-0895
pISSN - 0370-8179
DOI - 10.2298/sarh0204091k
Subject(s) - medicine , tonsillitis , disease , titer , francisella tularensis , chronic tonsillitis , dermatology , antibody , surgery , immunology , biochemistry , chemistry , tonsillectomy , virulence , gene
Tularaemia, as a rare disease, surprised medical workers in 1999 and 2000 when it was detected and diagnosed in 31 patients. In 1999 patients were registered in villages of the Sokobanja community, and in 2000 also in other communities in the district of Nish. Patients were peasants, mostly housewives. Glandular form of the disease was dominant. The main clinical symptoms were: tonsillitis, pain in the region of enlarged lymphatic glands and temperature, Biohumoral syndrome presented accelerated sedimentation of erythrocytes and elevated fibrinogen values. Antibody titer of Francisella tularensis was extremely high in the majority of patients. The disease was cured in all patients: in 27 patients after the first therapy, in 4 subjects after recidivation and 5 patients were surgically treated.