Tularaemia presenting as parapharyngeal abscess: case presentation

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dc.contributor.authorKoç, Sema
dc.contributor.authorGürbüzler, Levent
dc.contributor.authorYaman, Hüseyin
dc.contributor.authorEyibilen, Ahmet
dc.contributor.authorSalman, Nergis
dc.contributor.authorEkici, Adnan
dc.date.accessioned2020-04-30T23:46:49Z
dc.date.available2020-04-30T23:46:49Z
dc.date.issued2012
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000303893900019en_US
dc.descriptionPubMed: 22401576en_US
dc.description.abstractObjective: 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.en_US
dc.identifier.doi10.1017/S0022215112000096en_US
dc.identifier.endpage537en_US
dc.identifier.issn0022-2151
dc.identifier.issn1748-5460
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage535en_US
dc.identifier.urihttps://doi.org/10.1017/S0022215112000096
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5277
dc.identifier.volume126en_US
dc.identifier.wosWOS:000303893900019en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherCambridge Univ Pressen_US
dc.relation.ispartofJournal Of Laryngology And Otologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTularemiaen_US
dc.subjectPharyngeal Diseaseen_US
dc.subjectAbscessen_US
dc.subjectDiagnosisen_US
dc.subjectOropharynxen_US
dc.subjectFrancisella Tularensisen_US
dc.titleTularaemia presenting as parapharyngeal abscess: case presentationen_US
dc.typeArticleen_US

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