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Published on: June 28, 2018
[Oropharyngeal tularemia: a case report]
Fikret Sahin1, Rıza Onder Günaydın
1Department of Otolaryngology, Balıkesir State Hospital, Balıkesir, Turkey.
Summary
Oropharyngeal tularemia, a bacterial zoonotic disease, presents as tonsillopharyngitis unresponsive to penicillin. This case highlights its importance in differential diagnosis for persistent throat infections.
Area of Science:
- Infectious Diseases
- Bacteriology
- Public Health
Background:
- Tularemia is a zoonotic disease caused by Francisella tularensis.
- Transmission occurs via infected animal secretions, contaminated food, or insect bites.
- Clinical forms include ulceroglandular, glandular, oculoglandular, oropharyngeal, typhoidal, and pneumonic.
Observation:
- Oropharyngeal tularemia is the most common form in Turkey.
- It often presents as membranous tonsillopharyngitis and cervical lymphadenopathy in otolaryngology practice.
- This article details a case of a 42-year-old female with oropharyngeal tularemia unresponsive to penicillin.
Findings:
- The patient presented with tonsillopharyngitis and cervical lymphadenitis.
- Initial treatment with penicillin was ineffective, suggesting an alternative diagnosis.
- Clinical, laboratory, and radiological findings were analyzed in comparison to existing literature.
Implications:
- Oropharyngeal tularemia should be included in the differential diagnosis for refractory tonsillopharyngitis.
- Early recognition and appropriate treatment are crucial for managing tularemia.
- This case underscores the need for awareness among clinicians, particularly otolaryngologists.
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