Tularaemia presenting as parapharyngeal abscess: case presentation
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Dosyalar
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Cambridge Univ Press
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: We report an extremely rare case of the oropharyngeal form of tularaemia, causing a parapharyngeal abscess. Case report: A 48-year-old woman presented with fever, sore throat, breathing difficulty and a right-sided neck swelling. This mass had previously been treated with penicillin without response, and had already been surgically drained once in another hospital. On physical examination, the tonsils were exudative and hypertrophic and the pharynx was hyperaemic. A fluctuant, 4 x 4 cm mass was seen on endoscopic examination, originating from the left parapharyngeal area and protruding towards the pyriform sinus, and partly obstructing the airway. Microagglutination test antibody titres for Francisella tularensis were positive (1/1280). The patient healed completely after definitive drainage of the abscess and antimicrobial therapy for 14 days (streptomycin, 2 x 1 g intramuscularly). Conclusion: Tularaemia should be considered in the differential diagnosis of patients presenting with tonsillopharyngitis, cervical lymphadenitis and parapharyngeal abscess who do not respond to treatment with penicillin, even if they do not live in an endemic region.
Açıklama
WOS: 000303893900019
PubMed: 22401576
PubMed: 22401576
Anahtar Kelimeler
Tularemia, Pharyngeal Disease, Abscess, Diagnosis, Oropharynx, Francisella Tularensis
Kaynak
Journal Of Laryngology And Otology
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
126
Sayı
5
