Tularemia: a differential diagnosis in oto-rhino-laryngology.
Tularemia can present as an oto-rhino-laryngological disease. The clinical and radiological (CT) manifestations, diagnosis and treatment are discussed based on a case report where a patient with tonsillitis and enlarged cervical lymph nodes was admitted to the department of oto-rhino-laryngology of a hospital in Northern Norway. Francisella tularensis was isolated from the blood and there was a high titre of agglutinating serum antibodies to F. tularensis. The patient's contaminated drinking water well is the suspect source of infection.
Department of Otolaryngology/Head and Neck Surgery, Haukeland University Hospital, Bergen, Norway.
S H
SH
Nordahl
T
T
Hoel
O
O
Scheel
J
J
Olofsson
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005604:Francisella tularensis / Q000302:isolation & purification; D006801:Humans; D008199:Lymphadenitis / Q000382:microbiology*; D009333:Neck; D012698:Serologic Tests; D014069:Tonsillitis / Q000382:microbiology*; D014406:Tularemia / Q000175:diagnosis*