Dual infection: tularemia and Lyme borreliosis acquired by single tick bite in northwest Croatia.
A case of dual infection, tularemia and Lyme borreliosis acquired by a single tick bite in northwest Croatia is presented. The patient came from a highly endemic region for Lyme borreliosis, where 45% of the ticks are infected with Borrelia burgdorferi. Clinically, tularemia manifested as the ulceroglandular form, and Lyme borreliosis manifested with arthritis (knee). Both diseases responded well to combined antibiotic therapy.
Golubić
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Department of Infectious Diseases, Cakovec County Hospital, ZAVNOH-a 10, HR-40000 Cakovec, Croatia. dgolubic@ck.hinet.hr
Zember
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D017523:Croatia / Q000453:epidemiology; D019353:Endemic Diseases; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D014406:Tularemia / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology