Journal
EPIDEMIOLOGY AND INFECTION
Volume 138, Issue 3, Pages 376-379Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S0950268809990513
Keywords
Bird-to-human transmission; Francisella tularensis; hunter; MLVA; nail scratch
Funding
- Ministry of Education and Science [G-2105]
- National Center for Infectious and Parasitic Diseases, Bulgaria
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During a recent large tularemia outbreak in Bulgaria we found several cases that were remote from the main focus. One case had an unusual mode of transmission. A hunter acquired tularemia through a nail scratch from a buzzard (Buteo buteo) and consequently developed a typical ulceroglandular form of the disease. The diagnosis was confirmed by serological methods and successful cultivation. Comparative strain typing was performed by high-resolution multi-locus variable-number tandem repeat analysis (MLVA). The isolated strain was identical to one of the outbreak genotypes. We consider that this case represents a bird-to-human transmission of F. tularensis.
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