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Paediatric oropharyngeal tularaemia requiring surgical intervention
- Source :
- BMJ Case Rep
- Publication Year :
- 2019
- Publisher :
- BMJ, 2019.
-
Abstract
- Tularaemia is a rare infectious disease endemic in most European countries caused by the bacteriumFrancisella tularensis.1Patients often show acute non-specific symptoms, which causes a delay in diagnosis and proper treatment, potentially resulting in significant morbidities such as deep neck abscess, meningitis, endocarditis and septic shock. The authors present a case of a 5-year old boy with a 4-day history of fever, sore throat and painful cervical lymphadenopathy, whose clinical progression worsened despite being treated with recommended antibiotics as per WHO guidelines once the diagnosis of Tularaemia was confirmed by serologic tests. He developed a parapharyngeal abscess and a persistent left necrotic cervical lymph node, which both were surgically drained and excised, respectively, and an extended course of antibiotic was given. Subsequently, the patient fully recovered from the illness and the follow-up was negative for relapse.
- Subjects :
- Male
0301 basic medicine
medicine.medical_specialty
Fever
medicine.drug_class
030106 microbiology
Antibiotics
03 medical and health sciences
0302 clinical medicine
Lymphadenitis
Rare Disease
Cervical lymphadenopathy
medicine
Sore throat
Humans
Endocarditis
030212 general & internal medicine
Francisella tularensis
Tularemia
Lymph node
business.industry
Septic shock
Pharyngitis
Pharyngeal Diseases
General Medicine
medicine.disease
Abscess
Anti-Bacterial Agents
Surgery
Treatment Outcome
medicine.anatomical_structure
Infectious disease (medical specialty)
Child, Preschool
Drainage
Lymph Nodes
Gentamicins
medicine.symptom
business
Meningitis
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 12
- Database :
- OpenAIRE
- Journal :
- BMJ Case Reports
- Accession number :
- edsair.doi.dedup.....6ed217d406db32332caa43f9a4fbe02b