[Glandular tularemia--case report].
Tularemia is a rare zoonosis occuring in many clinical forms, including ulceral, glandular, oropharyngeal, pneumonic, and septic form. ENT specialists seeing their patients in ambulatory and emergency settings are most likely to encounter oropharyngeal and glandular form. Tularemia became widely discussed clinical entity in recent years due to its potential to being used as a biological weapon in acts of terrorism. Authors present a case of a 75 yrs old woman treated for atypical tonsillitis with suppurative cervical lymphadenitis. As infection with typical pathogens was ruled out and no improvement with antibiotics was observed, further evaluation was initiated. Malignancies and tuberculosis were excluded. Final diagnosis was established based on a serological test. Epidemiology, clinical manifestations, diagnostic procedures and treatment of tularemia, as well as diagnostic pitfalls are briefly discussed.
Wiśliński
Przemysław
P
Oddzial Otolaryngologii Szpitala Bielańskiego w Warszawie. pwislinski@wp.pl
Marcinkowska
Ewa
E
Rastawicki
Waldemar
W
D000368:Aged; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood; D003937:Diagnosis, Differential; D005260:Female; D005604:Francisella tularensis / Q000302:isolation & purification*; D006801:Humans; D014069:Tonsillitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D016896:Treatment Outcome; D014406:Tularemia / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial