An evaluation of patients with tularemia in duzce province in the western black sea region of Turkey

Ince N., Cetinkaya O., Tunca B., Cakir Y.

Fresenius Environmental Bulletin, vol.29, no.11, pp.10035-10039, 2020 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 11
  • Publication Date: 2020
  • Journal Name: Fresenius Environmental Bulletin
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Aerospace Database, Agricultural & Environmental Science Database, Aqualine, Aquatic Science & Fisheries Abstracts (ASFA), CAB Abstracts, Chemical Abstracts Core, Communication Abstracts, Environment Index, Geobase, Greenfile, Metadex, Pollution Abstracts, Veterinary Science Database, Civil Engineering Abstracts
  • Page Numbers: pp.10035-10039
  • Keywords: Francisella tularensis, Oropharyngeal. west black sea, Tularemia, Turkey
  • Yozgat Bozok University Affiliated: No


Tularemia is a zoonotic infcclious disease caused by Francisella tularensis. The aim of our study was to examine the epidemiological and demo-graphical characteristics, laboratoiy findings, treat-ment methods, and treatment results of68 tularaemia cases reported from Diizce, Western Black Sea region of Turkey, between 2016-2019. Clinical diagnosis was confirmed by micro-agglutination test (>1/160 titrcs). A total of 68 patients (35 females, 33 males) were diagnosed with tularemia. The most common symptoms among the patients in the study were swelling in the ncck in 88.2% patients, sore throat in 73.5% patients and tonsillopharyngitis in 72.8% of the patients. Lymph node surgery was performed on 29.4% of patients despite receipt of anti-biothcrapy. The rate of ciprofloxacin use among patients not requiring lymph node surgcry(46%) was significantly higher than that in patients requiring such surgery (20%) (p=0.046). No difference in lymph node surgery was observed among patients rccciving combination antibiothcrapy (p>0.05).