|
|
Case Report |
A Case
Report of Delayed Diagnosed Oropharyngeal Tularemia Complicated with
Retropharyngeal Abscess Retrofarengeal Apse Komplikasyonu Gelişmiş Gecikmiş Tanılı Bir Orofarengeal Tularemi Olgusu *Tuğrul
HOŞBUL1 [ID], Umut EROL2
[ID], Selçuk KILIÇ3 [ID] 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. Keywords:
Francisella tularensis, Tularemia,
Retropharyngeal abscess, Early diagnosis. 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. Anahtar kelimeler: Francisella tularensis,
Tularemi, Retrofarengeal
apse, Erken tanı. Figure 1. Head and neck
computed tomography scan revealed bilateral cervical lymphadenopathies with
necrotic areas and retropharyngeal abscess (white arrows). R and L signify
right and left side respectively. Figure 1 png Şekil 1. Baş-boyun bilgisayarlı tomografisinde
nekrotik alanlar ve retrofarengeal apse (beyaz
oklar) ile birlikte bilateral servikal
lenfadenopatiler. R ve L sırasıyla sağ ve sol tarafı ifade eder. Şekil 1 png |
DOI: 10.46683/jmvi.2020.1 |
|
Article in English |
|
|
|
1Department of Medical Microbiology,
Gulhane Medical Faculty, University of Health Sciences, Ankara, Türkiye. 2Department of Otolaryngology-Head and
Neck Surgery, Gulhane Training and Research Hospital, University of Health
Sciences, Ankara, Türkiye. 3Ministry of Health, General
Directorate of Public Health, Department of Microbiology Reference
Laboratory, Ankara, Türkiye. |
|
|
|
*Corresponding author Tuğrul Hoşbul; Asst.Prof., Department
of Medical Microbiology, Gulhane Medical Faculty, University of Health
Sciences, Ankara, Türkiye. E-mail: tugrulhosbul@gmail.com |
|
|
|
Received: 03.01.2020 Accepted: 19.01.2020 Published: 20.01.2020 |
|
Cite as: Hoşbul
T, Erol U, Kılıç S. A Case Report of Delayed Diagnosed Oropharyngeal
Tularemia Complicated with Retropharyngeal Abscess. J Mol Virol Immunol 2020;
1(1): 14-17. |
|
|
|
View in academic indexes and databases |
|
|
|
Cited by 0 article*, 0 book chapter. |
|
|
|
©Copyright
JMVI. Licensed by Creative Commons Attribution-NonCommercial 4.0
International (CC BY-NC 4.0). |