The Taiwan Centers for Disease Control (CDC) reported this week the first domestically acquired tularemia case in the country. Image by OpenClipart-Vectors from Pixabay Tularemia has been a reportable infectious disease in Taiwan since 2007. Two confirmed cases have been reported so far, the other was an imported case from the US in 2011. According to health officials, the case is a 60-year-old male with a history of chronic diseases such as high blood pressure, heart disease and kidney disease living in the southern region. There was no history of domestic and foreign travel and animal contact during the incubation period, and no pets were kept at home. There are grasses, fish farms and a infestation of cats near the house. The case went to a medical center for fever, chills, diarrhea and other symptoms. The blood-cultured strain was genetically sequenced and highly similar to Francisella tularensis. A positive antibody test was also reported. The symptoms of the case improved after t