First Pediatric Case of Tularemia after a Coyote Bite

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 throug...

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Main Authors: Bruno B. Chomel, Jane A. Morton, Rickie W. Kasten, Chao-chin Chang
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2016/8095138
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author Bruno B. Chomel
Jane A. Morton
Rickie W. Kasten
Chao-chin Chang
author_facet Bruno B. Chomel
Jane A. Morton
Rickie W. Kasten
Chao-chin Chang
author_sort Bruno B. Chomel
collection DOAJ
description 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.
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series Case Reports in Infectious Diseases
spelling doaj-art-1e8b23a7471d4f3e85aec58e82daa28d2025-02-03T01:32:57ZengWileyCase Reports in Infectious Diseases2090-66252090-66332016-01-01201610.1155/2016/80951388095138First Pediatric Case of Tularemia after a Coyote BiteBruno B. Chomel0Jane A. Morton1Rickie W. Kasten2Chao-chin Chang3Department of Population Health and Reproduction, School of Veterinary Medicine, University of California, Davis, CA 95616, USALucile Salter Packard Children’s Hospital at Stanford, 725 Welch Road, Palo Alto, CA 94304, USADepartment of Population Health and Reproduction, School of Veterinary Medicine, University of California, Davis, CA 95616, USAGraduate Institute of Microbiology and Public Health, National Chung Hsing University, Taichung 402, TaiwanBite-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.http://dx.doi.org/10.1155/2016/8095138
spellingShingle Bruno B. Chomel
Jane A. Morton
Rickie W. Kasten
Chao-chin Chang
First Pediatric Case of Tularemia after a Coyote Bite
Case Reports in Infectious Diseases
title First Pediatric Case of Tularemia after a Coyote Bite
title_full First Pediatric Case of Tularemia after a Coyote Bite
title_fullStr First Pediatric Case of Tularemia after a Coyote Bite
title_full_unstemmed First Pediatric Case of Tularemia after a Coyote Bite
title_short First Pediatric Case of Tularemia after a Coyote Bite
title_sort first pediatric case of tularemia after a coyote bite
url http://dx.doi.org/10.1155/2016/8095138
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AT rickiewkasten firstpediatriccaseoftularemiaafteracoyotebite
AT chaochinchang firstpediatriccaseoftularemiaafteracoyotebite