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Case Reports
. 2022 Mar;52(2):107-109.
doi: 10.1016/j.idnow.2021.06.306. Epub 2021 Jul 7.

A case of Francisella tularensis meningitis in a 64-year-old man treated with quinolones

N Ducatez  1 , S Melboucy  2 , H Bentayeb  3 , C Dayen  3 , R Suguenot  3 , E Lecuyer  3 , Y Douadi  3
Affiliations
Case Reports

A case of Francisella tularensis meningitis in a 64-year-old man treated with quinolones

N Ducatez et al. Infect Dis Now. 2022 Mar.

Abstract

We report a French case of tularemic meningitis - the second to be thoroughly described - and discuss the existing literature. The patient is a 64-year-old man with no medical history, who developed fever, cutaneous symptoms, and swollen lymph nodes within a week after a hunt. He was then diagnosed with meningitis caused by Francisella tularensis subsp. holarctica. Healing was quickly achieved ad integrum within 3 weeks with a course of ciprofloxacin. We discuss the existing literature about this specific issue, and try to shine a light on the superior efficacy and lesser toxicity of quinolones compared to the historical treatment.

Keywords: Meningitis; Treatment; Tularemia.

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