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  • Title: Dual infection: tularemia and Lyme borreliosis acquired by single tick bite in northwest Croatia.
    Author: Golubić D, Zember S.
    Journal: Acta Med Croatica; 2001; 55(4-5):207-9. PubMed ID: 12398025.
    Abstract:
    A case of dual infection, tularemia and Lyme borreliosis acquired by a single tick bite in northwest Croatia is presented. The patient came from a highly endemic region for Lyme borreliosis, where 45% of the ticks are infected with Borrelia burgdorferi. Clinically, tularemia manifested as the ulceroglandular form, and Lyme borreliosis manifested with arthritis (knee). Both diseases responded well to combined antibiotic therapy.
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