Table 1.
Demographic, epidemiological and clinical data and test results for 11 patients involved in tularemia outbreak in Youzband Village, 2016–2018
| Case No. | Age/Gender | Lymphadenopathy | Wound in lymph node | Ocular lesion | Primary signs date | Clinical sign | Treatment/Duration | Drinking Water | Keeping livestock | History of tick biting | Serum sampling time (at days post onset) | Tube agglutination test | IgM titre U/ml (ELISA) | IgG titre U/ml (ELISA) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 29/M | Pharyngeal | N | Y | Nov. 2016 | Eye discharge, chills, sore throat, swollen lymph nodes | Clindamycin, Amoxicillin/ 1 week | Only Spring | Y | N | 574 | 1:320 | ≥400 | 235 |
| 2 | 44/F | Pharyngeal | Ya | N | Dec. 2016 | Enlarged lymph node, Common Cold sign |
Cefixime, Metronidazole Hydrocortisone ceftriaxone/ 2 month |
Only Spring | Y | N | 568 | 1:160 | ≥400 | 190 |
| 3 | 30/F | Preauricular | N | N | Nov. 2016 | Fever, Chill, Sore throat, weakness, enlarged lymph node | Anti TB drugs/ ND | Tap water & spring | N | N | 575 | 1:320 | ≥400 | 170 |
| 4 | 30/F | Pharyngeal | N | N | Nov. 2016 |
Sore Eyes, enlarged lymph node |
Penicillin/ ND | Only spring | N | N | 574 | 1:320 | ≥400 | 84 |
| 5 | 29/F | Pharyngeal& Preauricular | N | N | Dec. 2016 | Common cold sign, Anorexia Fever, Chill, sore throat, enlarged lymph node | Not treated | Only Tap water | Y | N | 566 | 1:40 | 260 | 145 |
| 6 | 4/M | Preauricular | Y | N | Dec. 2016 | Sore throat, enlarged lymph node (Hospitalized) | Cephalexin clindamycin clarithromycin ciprofloxacin/ ND | Tap water & spring | Y | N | 567 | 1:320 | 240 | 260 |
| 7 | 8/M | Inguinal & pharyngeal | N | N | Nov. 2016 | Sore throat, skin rash on feet (Hospitalized), enlarged lymph node | Betamethasone/ ND | Tap water & spring | Y | N | 574 | 1:160 | 250 | 230 |
| 8 | 14/M | Pharyngeal | Y | N | Dec. 2016 | Common cold sign, enlarged lymph node | Not treated | Tap water & spring | Y | Y | 569 | 1:320 | 95 | ≥300 |
| 9 | 31/F | Pharyngeal | Ya | Y | Dec. 2016 | Common cold sign, sore throat, chill earache, headache, enlarged lymph node, amaurosis, sore eye | Not treated | Only spring | N | N | 562 | 1:160 | ≥400 | 92 |
| 10 | 77/F | Preauricular | N | N | Nov. 2016 | Sore throat, enlarged lymph node (removed by surgery) | Not treated | Only spring | Y | N | 576 | 1:160 | 195 | 120 |
| 11 | 31/F | Pharyngeal | N | N | Feb. 2018 | Earache toothache enlarged lymph node | Co-amoxiclav/ 2 month | Only Tap water | Y | Y | 115 | 1:80 | 32 | ≤3 |
Y Yes, N No, Pos. Positive, Neg. Negative, O. Obtained, NT Not Taken, ND Not determined, LNS Lymph node sample, WBS Whole blood sample, SS Serum sample, aDrained pus 1