| Oropharyngeal tularemia--a differential diagnosis of tonsillopharyngitis and cervical lymphadenitis. | |
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MedLine Citation:
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PMID: 20213378 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Francisella tularensis, the causative agent of tularemia, has been recognized as a human and zoonotic pathogen for almost 100 years. The increasing number of tularemia outbreaks in regions of Europe outside the classic endemic areas in recent years has prompted renewed interest in this rare infectious disease. We report on a case of oropharyngeal tularemia in an 18-year-old girl from Bavaria (Germany) who presented with tonsillopharyngitis and cervical lymphadenitis. Strongly positive serological tests and PCR detection of F. tularensis subsp. holarctica in lymph node tissue led to the diagnosis of tularemia. After long-term treatment with doxycycline, partly in combination with ciprofloxacin, the patient recovered completely. Clinical presentation, diagnostics, treatment and recent epidemiological aspects of tularemia in Europe are discussed in this case report and review of the literature. |
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Authors:
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Julia Dlugaiczyk; Thomas Harrer; Jochen Zwerina; Maximilian Traxdorf; Stephan Schwarz; Wolf Splettstoesser; Walter Geissd?rfer; Christoph Schoerner |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Wiener klinische Wochenschrift Volume: 122 ISSN: 1613-7671 ISO Abbreviation: Wien. Klin. Wochenschr. Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-03-09 Completed Date: 2010-06-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 21620870R Medline TA: Wien Klin Wochenschr Country: Austria |
Other Details:
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Languages: eng Pagination: 110-4 Citation Subset: IM |
Affiliation:
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Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Erlangen, Germany. julia_dlugaiczyk@yahoo.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diagnosis, Differential Female Humans Mouth Diseases / diagnosis* Neck Pharyngeal Diseases / diagnosis* Pharyngitis / complications, diagnosis Tonsillitis / complications, diagnosis Tuberculosis, Lymph Node / diagnosis Tularemia / diagnosis* Young Adult |
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