BMJ Case Reports 2017; doi:10.1136/bcr-2017-221258
  • Rare disease

Unusual case of prosthetic joint infection caused by Francisella Tularensis

  1. Michael Moran3
  1. 1Department Of Internal Medicine, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA
  2. 2Department of Infectious diseases, Carle Foundation Hospital, Urbana, Illinois, USA
  3. 3Department Of Orthopedic Surgery, Carle Foundation Hospital, Urbana, Illinois, USA
  1. Correspondence to Dr Harsh Rawal, harshrawal1210{at}
  • Accepted 28 September 2017
  • Published 11 October 2017


Tularaemia is a zoonotic infection caused by Francisella tularensis.Ulceroglandular, glandular, oculoglandular, pharyngeal, typhoidal and pneumonic types are the different types of the disease. Infection of prosthetic joints occurs at an exceedingly uncommon rate. We report a case of prosthetic joint infection involving the hip with F. tularensis, which to the best of our knowledge after a thorough literature review is the second of its kind.


  • Contributors HR: carried out the initial case review, literature search, case write up and editing. AP: carried out literature review, case editing and was also involved in the care and follow-up of the patient as infectious disease physician. MM: was involved in the care of the patient as orthopedic surgeon and carried out case editing.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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