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1.
Ticks Tick Borne Dis ; 13(2): 101893, 2022 03.
Article in English | MEDLINE | ID: mdl-34990926

ABSTRACT

Although Francisella (F.) tularensis is a well-described and understood zoonotic pathogen, its importance in Central Europe is relatively minor and, as such, tularaemia may be missed in the differential diagnosis. The annual incidence of tularaemia in the Czech Republic is relatively stable with up to 100 reported cases per year, except in the epidemic years 1998 and 1999 with 225 and 222 reported cases, respectively. It is, however, higher in comparison with the neighbouring countries. The common route of transmission in Central Europe is handling infected animals. Tularaemia is not commonly recognized as a tick-borne disease. Here we report two rare cases of a tick bite-associated ulceroglandular form of tularaemia in 2.5-year-old and 6.5-year-old children presenting with cervical lymphadenopathy. The unusual and interesting features of those cases are the young age and relatively uncommon route of transmission suggesting possible changes in the epidemiology of tularaemia in the Czech Republic. Therefore, the infection with F. tularensis should be considered in the differential diagnosis after a tick bite even in infants.


Subject(s)
Francisella tularensis , Lymphadenopathy , Tick Bites , Tick-Borne Diseases , Tularemia , Animals , Child, Preschool , Humans , Tick Bites/complications , Tick-Borne Diseases/epidemiology , Tularemia/epidemiology
2.
Klin Mikrobiol Infekc Lek ; 25(4): 125-131, 2019 Dec.
Article in Czech | MEDLINE | ID: mdl-32311065

ABSTRACT

The article discusses possible prevention and prophylaxis of infectious diseases affecting the course of pregnancy with respect to the mother, fetus and newborn. Also mentioned are diseases for which there is no vaccination. The options for prevention targeted at the periods before and during pregnancy and after delivery are explained. Finally, practical procedures related to vaccination and diagnosis of infectious diseases in women of childbearing age are presented.


Subject(s)
Communicable Diseases , Infectious Disease Medicine/methods , Pregnancy Complications, Infectious , Communicable Diseases/diagnosis , Female , Humans , Infant, Newborn , Pregnancy , Pregnancy Complications, Infectious/diagnosis , Pregnancy Complications, Infectious/prevention & control , Vaccination
3.
Klin Mikrobiol Infekc Lek ; 23(2): 76-84, 2017 06.
Article in Czech | MEDLINE | ID: mdl-28903172

ABSTRACT

Acute bacterial meningitis is a severe infectious disease of the central nervous system. Its incidence decreases but lethality and sequelae remain high. The early initiation of appropriate treatment is a factor strongly determining the patient´s prognosis. The authors submit the Czech national guideline for diagnosis and treatment of community-acquired acute bacterial meningitis which has to provide clear and simple recommendations for clinicans involved in the care of meningitis in adults and children. The national guideline was based on the European guideline published in 2016 and adapted for the situation in the Czech Republic. It was acknowledged (approved? ratified?) by the Society for Epidemiology and Microbiology and the Society for Medical Microbiology of the Czech Medical Association.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Meningitis, Bacterial/diagnostic imaging , Meningitis, Bacterial/drug therapy , Adult , Child , Czech Republic/epidemiology , Health Policy , Humans , Incidence , Meningitis, Bacterial/epidemiology
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