PT  - JOURNAL ARTICLE
AU  - Aleksandar Ivkovic
AU  - Tamara Milosavljevic
AU  - Zoran Radovanovic
TI  - Lung tularemia in patients with tuberculosis presented by CT
DP  - 2011 Sep 01
TA  - European Respiratory Journal
PG  - p3675
VI  - 38
IP  - Suppl 55
4099  - http://erj.ersjournals.com/content/38/Suppl_55/p3675.short
4100  - http://erj.ersjournals.com/content/38/Suppl_55/p3675.full
SO  - Eur Respir J2011 Sep 01; 38
AB  - After the major flood we had outbreak of tularemia. Tularemia, also known as rabbit fever, is a disease caused by the bacterium Francisella tularensis. Depending on the site of infection, tularemia has six characteristic clinical syndromes: ulceroglandular, glandular, oropharyngeal, pneumonic, oculoglandular, and typhoidal. Outbreak become in region with high rate of tuberculosis.Aims: The main aim is to shoe cases of tularemia on patients with tuberculosis.Methods: We examined 63 patients with acute form of lung tularemia who already had tuberculosis (from 186 patients with lung tularemia). Male patients were 48, female were 15. Patients were from 48 to 87 years old. We examined all patients on 16 or 64 MDCT.Results: After the huge flow in several rural parts, there were outbreaks of tularemia. 186 patients were with syndromes of lung pneumonia with symptoms of fever, chills, headache, muscle aches, joint pain, dry cough, and progressive weakness. Patients also develop chest pain, difficulty breathing, bloody sputum, and respiratory failure. In 63 we find signs of all forms of tuberculosis. Developing of symptoms occurs faster in those patients with bizarre radiology signs from military form to caverns filled with acute areas of tularemia grow. CT findings of the lungs were developing in few steps with progression even when other symptoms were gone. First we find enlargement of the hilar region of the lung and after few day illness develop into the lung parenchyma, firstly retro hilum and after that slowly on the whole lung, part by part with bronchiolitis.Conclusion: CT has a significant role in determining and following of all form of lung diseases.