Retrospective two-centre study of human tularemia, Austria - Takeaways - MDSpire
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A Two-Centre Retrospective Analysis of Human Tularemia Cases in Austria

  • By

  • Lorenz Schubert

  • Sarah Stanojevic

  • Carolina Krauss

  • Selma Tobudic

  • Rainer Gattringer

  • Stefan Winkler

  • October 9, 2026

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  • 1

    This two-centre retrospective study analyzed 51 patients with tularemia treated in Austria from 2005 through 2024.

  • 2

    Thirty-seven patients (72.5%) received monotherapy, most commonly doxycycline (31 patients; 60.8%).

  • 3

    Fourteen patients (27.5%) received combination therapy, most often doxycycline with an aminoglycoside or a fluoroquinolone.

  • 4

    Among 10 reported monotherapy failures, 5 involved ulceroglandular disease, 3 glandular disease, and 2 pulmonary disease.

  • 5

    Nine treatment failures occurred among 31 patients receiving doxycycline monotherapy (29%); one occurred with fluoroquinolone monotherapy.

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