title: [Treatment of cervical adenopathies secondary to oropharyngeal tularaemia. Our experience in 8 patients].
abstract: Tularaemia is an uncommon zoonosis in our country. In the outbreak in 2007, there was a notably high incidence of the oropharyngeal form. We report our experience in eight patients with oropharyngeal tularaemia with cervical adenopathies. The mean age was 45 years (11-76), with 5 males. All suffered oropharyngeal pain, fever and asthenia. The time elapsed between the onset of symptoms and attending our clinic varied from 8 to 60 days. Mean duration of oropharyngeal symptoms was 11.7 days, and adenopathies appeared in the first three days. Resolution of adenopathies occurred at 2 to 3.5 months. Three cases needed surgical drainage and two fistulized spontaneously. Seven patients were treated with ciprofloxacin and one with erythromycin. A correct and precocious antibiotic therapy, and sometimes surgical drainage, could accelerate the healing process.
authors.affiliation: Servicio de Otorrinolaringología, Complejo Hospitalario de Palencia, Palencia, España.
authors.forename: José
authors.initials: J
authors.lastname: Escapa-Garrachón
authors.forename: José Ignacio
authors.initials: JI
authors.lastname: Martín-Serradilla
authors.forename: Ignacio
authors.initials: I
authors.lastname: Alonso Castañeira
authors.forename: Jorge
authors.initials: J
authors.lastname: Freijanes Otero
authors.forename: Paula
authors.initials: P
authors.lastname: de Las Heras Flórez
authors.forename: José Luis
authors.initials: JL
authors.lastname: Alonso Treceño
mesh_terms: D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D008206:Lymphatic Diseases / Q000209:etiology* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009059:Mouth Diseases / Q000150:complications*; D009333:Neck; D010608:Pharyngeal Diseases / Q000150:complications*; D014406:Tularemia / Q000150:complications*