Epidemiology and clinical characteristics of tularemia in Oklahoma, 1979 to 1985
We studied the clinical and epidemiologic characteristics of tularemia in 165 Oklahomans from 1979 to 1985. The ulceroglandular form of the disease was most common (60%), followed by typhoidal (18%), glandular (15%), oropharyngeal (7%), and oculoglandular (1%) forms. The male-female ratio was 3.7:1,...
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| Veröffentlicht in: | Southern medical journal (Birmingham, Ala.) Ala.), 1991-09, Vol.84 (9), p.1091-1096 |
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| container_title | Southern medical journal (Birmingham, Ala.) |
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| creator | Rohrbach, B W Westerman, E Istre, G R |
| description | We studied the clinical and epidemiologic characteristics of tularemia in 165 Oklahomans from 1979 to 1985. The ulceroglandular form of the disease was most common (60%), followed by typhoidal (18%), glandular (15%), oropharyngeal (7%), and oculoglandular (1%) forms. The male-female ratio was 3.7:1, and the highest rates of disease were found in the age groups 5 to 14, 35 to 44, and 55 to 74. Ticks were most frequently implicated as the source of infection (84/154 [55%]), followed by rabbits, (58/154 [38%]). Seventy percent of the patients were hospitalized, and four (2.5%) died. The annual number of patients who reported that rabbits were their probable source of exposure to Francisella tularensis and the estimated number of rabbits harvested (ie, killed by hunters) for the year correlated closely with the total number of cases reported from year to year. |
| doi_str_mv | 10.1097/00007611-199109000-00008 |
| format | Article |
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The ulceroglandular form of the disease was most common (60%), followed by typhoidal (18%), glandular (15%), oropharyngeal (7%), and oculoglandular (1%) forms. The male-female ratio was 3.7:1, and the highest rates of disease were found in the age groups 5 to 14, 35 to 44, and 55 to 74. Ticks were most frequently implicated as the source of infection (84/154 [55%]), followed by rabbits, (58/154 [38%]). Seventy percent of the patients were hospitalized, and four (2.5%) died. The annual number of patients who reported that rabbits were their probable source of exposure to Francisella tularensis and the estimated number of rabbits harvested (ie, killed by hunters) for the year correlated closely with the total number of cases reported from year to year.</description><identifier>ISSN: 0038-4348</identifier><identifier>DOI: 10.1097/00007611-199109000-00008</identifier><identifier>PMID: 1891728</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Animals ; Arachnid Vectors - microbiology ; Child ; Child, Preschool ; Female ; Francisella tularensis ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Oklahoma - epidemiology ; Rabbits - microbiology ; Risk Factors ; Seasons ; Sex Factors ; Ticks - microbiology ; Time Factors ; Tularemia - complications ; Tularemia - epidemiology ; Tularemia - mortality ; Tularemia - transmission</subject><ispartof>Southern medical journal (Birmingham, Ala.), 1991-09, Vol.84 (9), p.1091-1096</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c310t-2eae2bec37ec3f59e8792d3c18015705692dca2d6c504d0f7b65d5e565d5cc2a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1891728$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rohrbach, B W</creatorcontrib><creatorcontrib>Westerman, E</creatorcontrib><creatorcontrib>Istre, G R</creatorcontrib><title>Epidemiology and clinical characteristics of tularemia in Oklahoma, 1979 to 1985</title><title>Southern medical journal (Birmingham, Ala.)</title><addtitle>South Med J</addtitle><description>We studied the clinical and epidemiologic characteristics of tularemia in 165 Oklahomans from 1979 to 1985. The ulceroglandular form of the disease was most common (60%), followed by typhoidal (18%), glandular (15%), oropharyngeal (7%), and oculoglandular (1%) forms. The male-female ratio was 3.7:1, and the highest rates of disease were found in the age groups 5 to 14, 35 to 44, and 55 to 74. Ticks were most frequently implicated as the source of infection (84/154 [55%]), followed by rabbits, (58/154 [38%]). Seventy percent of the patients were hospitalized, and four (2.5%) died. The annual number of patients who reported that rabbits were their probable source of exposure to Francisella tularensis and the estimated number of rabbits harvested (ie, killed by hunters) for the year correlated closely with the total number of cases reported from year to year.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Animals</subject><subject>Arachnid Vectors - microbiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Francisella tularensis</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Oklahoma - epidemiology</subject><subject>Rabbits - microbiology</subject><subject>Risk Factors</subject><subject>Seasons</subject><subject>Sex Factors</subject><subject>Ticks - microbiology</subject><subject>Time Factors</subject><subject>Tularemia - complications</subject><subject>Tularemia - epidemiology</subject><subject>Tularemia - mortality</subject><subject>Tularemia - transmission</subject><issn>0038-4348</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFUE1PAyEQ5aCptfoTTDh5cpWPssDRNPUjaVIPeiYUWIuyS4XdQ_-9rK06yczLvLw3kzwAIEa3GEl-h0rxGuMKS1mIslUjJU7AFCEqqjmdizNwnvPHKGSinoAJFhJzIqbgZbnz1rU-hvi-h7qz0ATfeaMDNFudtOld8rn3JsPYwH4IOhW1hr6D68-gt7HVNxBLLmEfCwp2AU4bHbK7POIMvD0sXxdP1Wr9-Ly4X1WGYtRXxGlHNs5QXrph0gkuiaUGC4QZR6wum9HE1oahuUUN39TMMsfGaQzRdAauD3d3KX4NLveq9dm4EHTn4pAVJ0hISlgRioPQpJhzco3aJd_qtFcYqTFA9Rug-gvwhxLFenX8MWxaZ_-Nh_ToNxXTbEc</recordid><startdate>19910901</startdate><enddate>19910901</enddate><creator>Rohrbach, B W</creator><creator>Westerman, E</creator><creator>Istre, G R</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19910901</creationdate><title>Epidemiology and clinical characteristics of tularemia in Oklahoma, 1979 to 1985</title><author>Rohrbach, B W ; Westerman, E ; Istre, G R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c310t-2eae2bec37ec3f59e8792d3c18015705692dca2d6c504d0f7b65d5e565d5cc2a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Animals</topic><topic>Arachnid Vectors - microbiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Francisella tularensis</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Oklahoma - epidemiology</topic><topic>Rabbits - microbiology</topic><topic>Risk Factors</topic><topic>Seasons</topic><topic>Sex Factors</topic><topic>Ticks - microbiology</topic><topic>Time Factors</topic><topic>Tularemia - complications</topic><topic>Tularemia - epidemiology</topic><topic>Tularemia - mortality</topic><topic>Tularemia - transmission</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rohrbach, B W</creatorcontrib><creatorcontrib>Westerman, E</creatorcontrib><creatorcontrib>Istre, G R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Southern medical journal (Birmingham, Ala.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rohrbach, B W</au><au>Westerman, E</au><au>Istre, G R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiology and clinical characteristics of tularemia in Oklahoma, 1979 to 1985</atitle><jtitle>Southern medical journal (Birmingham, Ala.)</jtitle><addtitle>South Med J</addtitle><date>1991-09-01</date><risdate>1991</risdate><volume>84</volume><issue>9</issue><spage>1091</spage><epage>1096</epage><pages>1091-1096</pages><issn>0038-4348</issn><abstract>We studied the clinical and epidemiologic characteristics of tularemia in 165 Oklahomans from 1979 to 1985. 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| ispartof | Southern medical journal (Birmingham, Ala.), 1991-09, Vol.84 (9), p.1091-1096 |
| issn | 0038-4348 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Age Factors Aged Animals Arachnid Vectors - microbiology Child Child, Preschool Female Francisella tularensis Humans Infant Infant, Newborn Male Middle Aged Oklahoma - epidemiology Rabbits - microbiology Risk Factors Seasons Sex Factors Ticks - microbiology Time Factors Tularemia - complications Tularemia - epidemiology Tularemia - mortality Tularemia - transmission |
| title | Epidemiology and clinical characteristics of tularemia in Oklahoma, 1979 to 1985 |
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