title: Tularemia of the middle ear.
abstract: We report the case of a 10-year-old boy with prolonged fever who was found to have tularemia of the middle ear. Otolaryngologic cases including oropharyngeal and glandular or ulceroglandular forms of the head and neck region are estimated to account for 12% of all tularemia cases, but to date we have not seen a report of tularemia in the middle ear. The possibility of tularemia may not occur to a physician because of the wide variation of clinical manifestations.
authors: Department of Otorhinolaryngology, Oulu University Central Hospital, Finland.
authors: Leevi
authors: L
authors: Luotonen
authors: Terhi
authors: T
authors: Tapiainen
authors: Matti
authors: M
authors: Kallioinen
authors: Jukka
authors: J
authors: Luotonen
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000890:Anti-Infective Agents / Q000627:therapeutic use; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000942:Antigens, Bacterial / Q000302:isolation & purification; D002648:Child; D002939:Ciprofloxacin / Q000627:therapeutic use; D003907:Dexamethasone / Q000627:therapeutic use; D004338:Drug Combinations; D005601:Framycetin / Q000627:therapeutic use; D005604:Francisella tularensis / Q000302:isolation & purification; D006096:Gramicidin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010035:Otitis Media, Suppurative / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D014406:Tularemia / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D000891:Anti-Infective Agents, Local; D000893:Anti-Inflammatory Agents; D000942:Antigens, Bacterial; D004338:Drug Combinations; D006096:Gramicidin; D005601:Framycetin; D002939:Ciprofloxacin; D003907:Dexamethasone