Table 1.
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.