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Paediatric oropharyngeal tularaemia requiring surgical intervention

Authors :
Claude A Fischer
Amina Nemmour
Adzreil Bakri
Yves Brand
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.

Details

ISSN :
1757790X
Volume :
12
Database :
OpenAIRE
Journal :
BMJ Case Reports
Accession number :
edsair.doi.dedup.....6ed217d406db32332caa43f9a4fbe02b