Francisella tularensis endocarditis: two case reports and a literature review

Abstract

We report the first two cases of infective endocarditis caused by Francisella tularensis in Europe (two cases have previously been reported outside Europe). We suggest clinicians should consider tularemia as a possible diagnosis in endemic regions in cases of culture-negative endocarditis.

Keywords:

• Tularemia
• Francisella tularensis
• endocarditis
• Europe
• review

Acknowledgements

We thank Dr. Tahar Hadou for performing and interpreting serology testing. We are grateful to Oliver J. Dyar for his help with language editing. We thank the French National Reference Center for Tularemia for their expertize.

Disclosure statement

The authors state that there is no conflict of interest.