Paediatric oropharyngeal tularaemia requiring surgical intervention

Nemmour, Amina and Bakri, Adzreil and Fischer, Claude A. and Brand, Yves (2019) Paediatric oropharyngeal tularaemia requiring surgical intervention. BMJ Case Reports, 12 (9). e229754. ISSN 1757-790X, DOI

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Tularaemia is a rare infectious disease endemic in most European countries caused by the bacterium Francisella tularensis. 1 Patients 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. © BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Item Type: Article
Uncontrolled Keywords: infectious diseases; otolaryngology/ent; paediatrics
Subjects: R Medicine
R Medicine > RF Otorhinolaryngology
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 20 Feb 2020 02:09
Last Modified: 20 Feb 2020 02:09

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