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Case of Congenital Tularemia with Neuroinvasive Disease, Utah, USA

Year: 2025

Type: article

Abstract: We diagnosed neuroinvasive tularemia in a neonate in Utah who had culture-negative pleocytosis in cerebrospinal fluid, rim-enhancing lesions on brain magnetic resonance imaging, and blood microbial cell-free DNA Francisella tularensis detection. Maternal history, serologic testing, and Francisella sp. identified in the fallopian tube by immunohistochemistry and 16S rRNA gene PCR strongly support congenital infection.

Source: Emerging infectious diseases

DOI: 10.3201/eid3112.250703