Indigenous Infection with Francisella tularensis holarctica in The Netherlands.
We report here the first case of indigenous tularemia detected in The Netherlands, a nonendemic country, since 1953. Whole genome DNA sequence analysis assigned the isolate BD11-00177 to the genomic group B.FTNF002-00, which previously has been exclusively reported from Spain, France, Italy, Switzerland, and Germany. The patient had not been abroad for years, which implies that this is an indigenous infection. The current case might predict an upcoming distribution of Francisella tularensis holarctica genomic group B.FTNF002-00 in Europe.
Department of Medical Microbiology, Beatrix Hospital and Albert Schweitzer Hospital, P.O. Box 899, 3300 AW Dordrecht, The Netherlands.
Boulos
B
Maraha
Gerhard
G
Hajer
Andreas
A
Sjödin
Mats
M
Forsman
Armand
A
Paauw
Guus
G
Roeselers
Ellen
E
Verspui
Ine
I
Frenay
Daan
D
Notermans
Maaike
M
de Vries
Frans
F
Reubsaet