XXXX @entity693 : Three Cases and a Review of the Literature.

@entity1 @entity4008 @entity235 @entity468 @entity693 @entity393 @entity55752
UNASSIGNED: @entity4008 is a disease with a high morbidity and mortality. It may be caused by the zoonotic pathogen @entity55752 , which is part of the commensal oral flora in @entity235 and @entity468 . We report three cases of @entity55752 @entity693 in a nationwide cohort study of @entity4008 @entity1 and performed a review of the literature. Three episodes of @entity55752 @entity693 were identified in three @entity1 included in a nationwide cohort study from 2006 through 2014. The calculated annual incidence was 0.03 per million adults. When combined with the literature, 33 @entity1 were identified of which 28 were male (85%). The median age was 63  years, and 13 (42%) were immunocompromised, which consisted of alcoholism in 7 (21%). Animal contact could be established in 29 of 30 @entity1 (93%) and consisted of @entity235 bites in 22 of 29 (76%). One @entity1 died (3%) and 8 had neurological sequelae upon discharge (25%), most often @entity393 (n  =  6, 19%). @entity55752 @entity693 is associated with @entity235 bites. Although mortality is relatively low, survivors often have neurological sequelae.
