First Pediatric Case of Tularemia after a Coyote Bite. (13th January 2016)

• Record Type: Journal Article
• Authors: Chomel, Bruno B.; Morton, Jane A.; Kasten, Rickie W.; Chang, Chao-chin
• Other Names: Shibata Tomoyuki Academic Editor.
• Is Part Of: Case reports in infectious diseases. Volume 2016(2016)
• Publication Date: 2016-01-13
• Subjects: Communicable diseases -- Periodicals; Communicable diseases -- Case studies -- Periodicals; Communicable Diseases; Infectious Disease Medicine; Communicable diseases; Electronic journals; Periodicals; Case studies; Periodicals; 616.9
• DOI: 10.1155/2016/8095138
• Languages: English
• ISSNs: 2090-6625

Abstract

Abstract : Bite-transmitted tularemia is a rare event in humans and most of the cases have been associated with cat bites. We report the first pediatric case of tularemia caused by a coyote ( Canis latrans ) bite. Coyotes can be healthy carriers of Francisella tularensis and transmit this infectious agent through a bite. Pediatricians should be aware of this risk after a carnivore bite and implement appropriate antibiotic therapy, as amoxicillin/clavulanate potassium (Augmentin) may have prolonged the typical two to three days' incubation period commonly observed for tularemia after an animal bite and was not effective in preventing clinical signs in this child. Finally, it emphasizes again the importance of early and late serum samples for appropriate serodiagnostic.