Presentation
Authors present a case of a 75 yrs old woman treated for atypical tonsillitis with suppurative cervical lymphadenitis. [pubmed.ncbi.nlm.nih.gov]
Skip to content TO DRAIN OR NOT TO DRAIN Hillary Spangler, MD1, Erin Finn, MD2, 1UNC Hospitals, ; 2University of North Carolina, Case Presentation: A 22yo woman with no PMH presented with 2 days of right axillary swelling. [shmabstracts.org]
Respiratory symptoms, chest pain and a cough may also be present. About 35 percent of untreated naturally acquired typhoidal cases die. [luriechildrens.org]
Laura Marks, MD, PhD Laura Marks, MD, PhD, second year fellow, had a featured case in the New England Journal of Medicine of Glandular Tularemia.A 68-year-old man from Missouri presented to the primary care clinic with a history of 1 week of fever followed [infectiousdiseases.wustl.edu]
Methods: The presentation of the index case triggered an outbreak investigation involving the collection of clinical/ epidemiological data, application of tularine skin test, and laboratory confirmation of the possible cases using the tube agglutination [link.springer.com]
Immune System
- Cervical Lymphadenopathy
[…] apparent ulcer - Oculoglandular tularemia - Conjunctivitis AND - Regional lymphadenopathy - Oropharyngeal tularemia - Cervical lymphadenopathy AND at least one of the following three: - Stomatitis - Pharyngitis - Tonsillitis - Intestinal tularemia At [hpsc.ie]
Entire Body System
- Malaise
It is characterized by fever, chills, headache, malaise, an ulcerated skin lesion and painful glands. The skin lesion is usually located on the fingers or hand where contact occurs. [luriechildrens.org]
Respiratoric
- Pharyngitis
Bubo aspirates tested by PCR were positive in 4/4 cases and pharyngeal swabs also tested by PCR were positive in 2/3 cases. Francisella tularensis was isolated from the water samples. [link.springer.com]
[…] tularemia - Enlarged and painful lymph nodes without apparent ulcer - Oculoglandular tularemia - Conjunctivitis AND - Regional lymphadenopathy - Oropharyngeal tularemia - Cervical lymphadenopathy AND at least one of the following three: - Stomatitis - Pharyngitis [hpsc.ie]
Similar articles [Tonsillo-pharyngeal form of tularemia]. Trnjak Z, Nozić D, Marinković V, Bojić I, Lako B, Begović V, Mikić D. Trnjak Z, et al. Vojnosanit Pregl. 1997 May-Jun;54(3):217-21. Vojnosanit Pregl. 1997. PMID: 9304282 Serbian. [pubmed.ncbi.nlm.nih.gov]
- Sore Throat
Oropharyngeal form: From eating undercooked infected meat, this form is associated with a sore throat, stomach pain, nausea, vomiting, diarrhea and occasionally stomach bleeding. [dph.illinois.gov]
Gastrointestinal
- Abdominal Pain
Pain and Fever Clinical Cases Resource Center Interactive Medical Cases Image Challenge Videos in Clinical Medicine NEJM Resident 360 NEJM Knowledge+ View all learning/CME View all learning/CME Other NEJM Group Learning Hand Hygiene Essential information [nejm.org]
[…] tularemia - Conjunctivitis AND - Regional lymphadenopathy - Oropharyngeal tularemia - Cervical lymphadenopathy AND at least one of the following three: - Stomatitis - Pharyngitis - Tonsillitis - Intestinal tularemia At least one of the following three: - Abdominal [hpsc.ie]
Treatment
Tularemia serologies returned with “borderline IgM, negative IgG,” prompting treatment with a 10 day course of ciprofloxacin. [shmabstracts.org]
Epidemiology, clinical manifestations, diagnostic procedures and treatment of tularemia, as well as diagnostic pitfalls are briefly discussed. Similar articles [Tonsillo-pharyngeal form of tularemia]. [pubmed.ncbi.nlm.nih.gov]
This type of response can prevent ongoing exposure, as well as provide expeditious treatment to mitigate persistent symptoms. [link.springer.com]
Forme septicémique Without treatment, mortality varies from 6% in people with ulceroglandular tularemia to as high as 33% in people with typhoidal, pneumonic, or septicemic tularemia. [context.reverso.net]
Epidemiology
Probable case Any person meeting the clinical criteria and with an epidemiological link C. Confirmed case Any person meeting the clinical and the laboratory criteria Current as of: 7 March 2019 [hpsc.ie]
Tularemia: current epidemiology and disease management. Infect Dis Clin North Am 2006; 20: 289–311. Article PubMed Google Scholar Eliasson H, Lindbäck J, Nuorti JP, et al. [link.springer.com]
Epidemiology, clinical manifestations, diagnostic procedures and treatment of tularemia, as well as diagnostic pitfalls are briefly discussed. Similar articles [Tonsillo-pharyngeal form of tularemia]. [pubmed.ncbi.nlm.nih.gov]
Prevention
Bedside US provides additional information that can prevent unnecessary procedural attempts at the bedside, and there is increasing evidence that US increases diagnostic accuracy in skin and soft tissue infections and often changes management (2,3). [shmabstracts.org]
Prevention of illness after contact Health care providers can give out antibiotics for up to 14 days. [dph.illinois.gov]
This type of response can prevent ongoing exposure, as well as provide expeditious treatment to mitigate persistent symptoms. [link.springer.com]