Case Report: Atypical Cutaneous Manifestations of Tularemia after Horsefly Bite

Francesco Drago Department of Dermatology, Department of Health Sciences, Polyclinic Hospital San Martino-IST, Genoa, Italy

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Sanja Javor Department of Dermatology, Department of Health Sciences, Polyclinic Hospital San Martino-IST, Genoa, Italy

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Aurora Parodi Department of Dermatology, Department of Health Sciences, Polyclinic Hospital San Martino-IST, Genoa, Italy

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Tularemia is an infectious zoonosis caused by Francisella tularensis, an aerobic, noncapsulated, Gram-negative coccobacillus. It is more common in the northern hemisphere, and there are sporadic reports in non-endemic areas. The bacterium is usually transmitted by the bite or feces of a tick or other arthropods such as mosquitoes and horseflies. We report a case of an Italian patient with tularemia after a horsefly bite.

Author Notes

Address correspondence to Sanja Javor, Department of Dermatology, DISSAL, Polyclinic Hospital San Martino-IST, Largo Rosanna Benzi 10, Genoa 16132, Italy. E-mail: javor.med@gmail.com

Authors’ addresses: Francesco Drago, Sanja Javor, and Aurora Parodi, Department of Dermatology, IRCCS Azienda Ospedaliera Universitaria San Martino–IST Istituto Nazionale per la Ricerca sul Cancro, Genova, Italy, E-mails: frdrago@libero.it, javor.med@gmail.com, and aurora.parodi@hsanmartino.it.

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