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Case study

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Head and neck ulceroglandular type of tularemia in a 12-year-old child
Waldemar Narożny 1/, Andrzej Pustkowski 2/, Jerzy Kuczkowski 1/, Paulina Łopatiuk 3/
  • 1/ Katedra i Klinika Otolaryngologii, Gdański Uniwersytet Medyczny, Gdańsk
  • 2/ Szpital Dziecięcy „Polanki”, Gdańsk
  • 3/ Zakład Patomorfologii „Balticmedical”, Gdynia

Tularemia is a rare zoonosis occurring in many clinical forms, including ulceroglandular, glandular, oculoglandular,  oropharyngeal, typhoidal and pneumonic. The authors present a case of 12‑yr‑old girl treated for skin ulceration of parotid gland region and cervical lympadenitis. As infection with typical pathogens was ruled out and no improvement with antibiotics was observed, further evaluation was initiated. Final diagnosis was established by a serological test (elevation of antibody Francisella tularensis titre 1:200 with agglutination technique). The authors briefly discuss epidemiology, clinical manifestations, diagnostic procedures and treatment of tularemia.

Otorynolaryngologia Vol 13. No 4. Decemberpages: from 231to 235
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