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. 2018 Sep 3;5(9):ofy176. doi: 10.1093/ofid/ofy176

Table 1.

Characteristics of Patients With Tularemia Treated With Tetracyclines

Patient Age Sex Year/Month of Diagnosis Type of Tularemia Diagnosis Prior Antibiotic Therapy Delay Before Tetracycline Therapy Tetracycline Used/Duration of Therapy Surgical Procedurea Outcome
1 62 F 1988/November Ulceroglandular Single serology Cephalexin, ceftriaxone 28 days Tetracycline/10 days Aspiration Cure/no relapse
2 8 M 1991/June Ulceroglandular Single serology Cephalexin, erythromycin 14 days Doxycycline/21 days Aspiration Cure/no relapse
3 66 F 1994/August Glandular Single serology None Unknown Doxycycline/28 days Incision and drainageb Cure/no relapse
4 76 F 1995/August Ulceroglandular Single serology Clarithromycin, amoxicillin/ clavulanic acid 28 days Doxycycline/28 days Incision and drainage Cure/no relapse
5 42 M 1995/August Glandular Single serology Unknown 21 days Doxycycline/21 days None Cure/no relapse
6 37 M 1996/May Ulceroglandular Culture Cloxacillin 10 days Doxycycline/42 days Aspirationc Cure/no relapse
7 36 F 2000/May Glandular Culture Cephalexin, clindamycin 21 days Doxycycline/21 days Incision and drainaged Cure/no relapse
8 9 F 2001/May Glandular Single serology Amoxicillin, cephalexin 28 days Doxycycline/21 days Aspiration Cure/no relapse
9 46 M 2002/June Typhoidal Single serology Amoxicillin/clavulanic acid 21 days Doxycycline/14 days None Cure/no relapse
10 77 F 2002/July Ulceroglandular Single serology None 56 days Doxycycline/14 days None Cure/no relapse
11 91 F 2010/April Oculoglandular Culture Vancomycin, ceftriaxone, metronidazole 7 days Doxycycline/10 days None Cure/no relapse
12 19 M 2011/October Glandular Single serology None 42 days Doxycycline/14 days Aspiration Cure/no relapse
13 32 M 2012/August Typhoidal Single serology None Unknown Doxycycline/21 days None Cure/no relapse
14 31 M 2012/August Typhoidal Single serology None Unknown Doxycycline/21 days None Cure/no relapse
15 44 F 2013/January Glandular Single serology Azithromycin 84 days Doxycycline/14 days None Cure/no relapse
16 72 M 2014/October Ulceroglandular Single serology Cephalexin, ceftriaxone, TMP-SMX 7 days Doxycycline/21 days Incision and drainage Cure/no relapse
17 11 M 2015/August Glandular Single serology Amoxicillin/clavulanic acid, cephalexin 10 days Doxycycline/14 days None Cure/no relapse

Abbreviations: F, female; M, male; SMX, sulfamethoxazole; TMP, trimethoprim.

aInitial procedures done before initiation of tetracycline or doxycycline therapy.

bRequired repeat incision and drainage on day 14 of doxycycline.

cRequired repeat aspiration on day 14 of doxycycline.

dRequired aspiration on day 7 of doxycycline and incision and drainage on day 14 of doxycycline.