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KMID : 1130320150580100398
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Korean Journal of Pediatrics
2015 Volume.58 No. 10 p.398 ~ p.401
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The first pediatric case of tularemia in Korea: manifested with pneumonia and possible infective endocarditis
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Yeom Jung-Sook
Rhie Kyu-Yol
Park Ji-Sook
Seo Ji-Hyun
Park Eun-Sil
Lim Jae-Young
Park Chan-Hoo
Woo Hyang-Ok
Youn Hee-Shang
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Abstract
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Tularemia is a potentially severe zoonotic disease caused by Francisella tularensis. A lack of awareness about tularemia can be embarrassing and could result in delayed treatment because of improper diagnosis. The diagnosis of tularemia is difficult, because the infections are rare and the clinical spectrum is broad. As only 1 adult case has been reported in Korea thus far, pediatricians in Korea may be unfamiliar with tularemia. We report our experience with a 14-year-old male adolescent with tularemia who presented with atypical pneumonia and possible infective endocarditis. Although the infectivity and mortality rates for tularemia are very high if left untreated, we did not suspect tularemia in this case until the incidental isolation of F. tularensis. The present case suggests that clinicians in Korea should be more aware of tularemia. This case also suggests that tularemia should be considered in undetermined cases of atypical pneumonia or acute febrile illness without local signs.
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KEYWORD
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Francisella tularensis , Pneumonia , Endocarditis , Pediatrics , Korea
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