An Outbreak of Oropharyngeal Tularemia with Cervical Adenopathy Predominantly in the Left Side

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dc.contributor.authorŞencan, İrfan
dc.contributor.authorŞahin, İdris
dc.contributor.authorKaya, Demet
dc.contributor.authorÖksüz, Şükrü
dc.contributor.authorÖzdemir, Davut
dc.contributor.authorKarabay, Oğuz
dc.date.accessioned2020-04-30T22:39:16Z
dc.date.available2020-04-30T22:39:16Z
dc.date.issued2009
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionKarabay, Oguz/0000-0003-0502-432Xen_US
dc.descriptionWOS: 000263836900007en_US
dc.descriptionPubMed: 19259348en_US
dc.description.abstractPurpose: We describe the epidemiological and clinical characteristics and the efficacy of a delayed initiation to therapy in an oropharyngeal tularemia outbreak in Duzce, Turkey. Materials and Methods: Between March and June 2000, 22 patients with tularemia were diagnosed by microagglutination tests. Results: Oropharyngeal and ulceroglandular forms of the disease were discovered. Most of the cases were oropharyngeal (19 cases). The most common symptoms were sore throat (95.4%) and fever (90.9%). Lymphadenopathy (95.4%) and pharyngeal hyperemia (81.8%) were usually observed signs. The lymphadenopathies were localized especially in the left cervical region (66.7%), a finding that has not been previously reported in the literature. The time between the onset of the symptoms and diagnosis was 40.7 +/- 22.8 (10-90) days. The patients were treated with streptomycin plus doxycycline and ciprofloxacin. The patients' recoveries took up to 120 days. Conclusion: This report describes the first outbreak of tularemia in northwest Turkey. Tularemia may occur in any region where appropriate epidemiological conditions are found and should be kept ill mind for differential diagnosis in oropharyngeal symptoms. Late initiation of therapy may delay complete recovery. In this outbreak, cervical lymph nodes predominantly localized on the left side were found, which had not been previously reported.en_US
dc.identifier.doi10.3349/ymj.2009.50.1.50en_US
dc.identifier.endpage54en_US
dc.identifier.issn0513-5796
dc.identifier.issue1en_US
dc.identifier.startpage50en_US
dc.identifier.urihttps://doi.org/10.3349/ymj.2009.50.1.50
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2664
dc.identifier.volume50en_US
dc.identifier.wosWOS:000263836900007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherYonsei Univ College Medicineen_US
dc.relation.ispartofYonsei Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectOutbreaken_US
dc.subjecttularemiaen_US
dc.subjectwaterbrneen_US
dc.subjectoropharyngealen_US
dc.subjectleft cervical lymph nodesen_US
dc.titleAn Outbreak of Oropharyngeal Tularemia with Cervical Adenopathy Predominantly in the Left Sideen_US
dc.typeArticleen_US

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