Published January 20, 2020 | Version v1
Journal article Open

A Case Report of Delayed Diagnosed Oropharyngeal Tularemia Complicated with Retropharyngeal Abscess

Creators

  • 1. Department of Medical Microbiology, Gulhane Medical Faculty, University of Health Sciences, Ankara, Turkey
  • 2. Department of Otolaryngology-Head and Neck Surgery, Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey
  • 3. Ministry of Health, General Directorate of Public Health, Department of Microbiology Reference Laboratory, Ankara, Turkey

Description

Abstract

Tularemia is a zoonotic bacterial infection caused by Francisella tularensis with diverse clinical presentations. We present an oropharyngeal tularemia case complicated with retropharyngeal abscess which is a rare reported complication of tularemia. A twenty-one-year old male farmer was admitted to our hospital with a history of fever, headache, generalized aches and tender lump on the left side of neck. Physical examination revealed tender lymphadenopathy on the left posterior cervical region and retropharyngeal abscess. Surgical intervention was performed under general anesthesia. The diagnosis was made by serological tests. After antimicrobial therapy the patient recovered completely without sequelae.

Özet

Tularemi Francisella tularensis’in etken olduğu, çeşitli klinik tablolar ile prezante olan bir zoonotik bakteriyel enfeksiyondur. Bu yazıda tulareminin ender olarak raporlanmış bir komplikasyonu olan retrofarengeal apseli bir orofarengeal tularemi olgusu sunulmuştur. Yirmi bir yaşında erkek hasta ateş, baş ağrısı, yaygın vücut ağrısı ve boyun sol yanında boyunda şişlik şikayetleri ile hastanemize başvurdu.  Fizik muayenesinde posterior servikal bölgede ağrılı lenfadenopati ve retrofarengeal apse varlığı saptandı. Hastaya genel anestezi altında cerrahi müdahale yapıldı. Tularemi tanısı serolojik testlerle konuldu. Hasta antimikrobiyal tedavi sonrası sekelsiz olarak taburcu edildi.

Notes

Retrofarengeal Apse Komplikasyonu Gelişmiş Gecikmiş Tanılı Bir Orofarengeal Tularemi Olgusu

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Additional details

References

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