Isolation ofFrancisella tularensis biovarpalaearctica from human blood

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Francisella tularensis septicemia has previously been reported in the USA, whereFrancisella tularensis biovartularensis (type A) occurs endemically. The present report describes two cases of septicemia caused by the Euro-AsianFrancisella tularensis biovarpalaearctica (type B). The patients lived in an endemic region of Sweden and presented with high fever and pneumonia. Both patients recovered. The ability ofFrancisella tularensis biovarpalaearctica to cause bacteremia has consequences for laboratory safety.