Tularemia

Feigin, Ralph D.; Nag, Pratip K.

doi:10.1016/b978-1-4160-4044-6.50149-7

Cited by 4 publications

(2 citation statements)

References 142 publications

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“…The patient is generally discharged once reflexes have recovered sufficiently to protect the airway against accidental aspiration and to ensure enough oral intake. 3 The prompt use of the orphan drug BIG-IV has proved to be a significant element in the management of infant botulism, contributing to the full recovery that typically follows in these patients.…”

Section: Discussionmentioning

confidence: 99%

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Acute Onset Descending Paralysis in an Infant Newly Diagnosed With Pneumonia

Waddell

Blankenship

Putty

et al. 2022

Clin Pediatr (Phila)

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Section: Discussionmentioning

confidence: 99%

“…Absence of neuronal acetylcholine release prevents contraction of the affected muscle, resulting in the hallmark clinical signs of flaccid paralysis and hypotonia. 3…”

Section: Discussionmentioning

confidence: 99%

Acute Onset Descending Paralysis in an Infant Newly Diagnosed With Pneumonia

Waddell

Blankenship

Putty

et al. 2022

Clin Pediatr (Phila)

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Unusual Presentatıon Of Oropharyngeal Tularemıa: A Case Report

Polat

Kara²,

Tapisiz³

et al. 2013

Vector-Borne and Zoonotic Diseases

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Tularemia is a bacterial zoonotic disease that is caused by Francisella tularensis and among the infectious reasons that cause fever of unknown origin (FUO) in children. Typhoidal or pneumonic tularemia can manifest predominantly as FUO. However, presentation of oropharyngeal tularemia as FUO is uncommon. Here, we report a case of an 11-month-old infant with oropharyngeal tularemia presenting as FUO. To the best of our knowledge, this clinical presentation of oropharyngeal tularemia has not been previously reported in literature.

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Evaluation of Clinical and Sonographic Features in 55 Children with Tularemia

Öz

Ekşioğlu

Tanır

et al. 2014

Vector-Borne and Zoonotic Diseases

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Aim: The aim of this study was to determine the clinical characteristics and sonographic features of lymphadenopathy (LAP) and to evaluate the treatment modalities and treatment outcomes in children with tularemia. Materials and Methods: Demographic characteristics, ultrasonographic and physical examination findings, and treatment outcomes in 55 tularemia patients (24 male and 31 female) with a mean age of 10.8 -4.0 years were analyzed retrospectively. Lymph node necrosis was classified in three stages based on ultrasound findings-stage 1, cortical microabscesses; stage 2, cortical and medullar abscesses; stage 3, total necrosis of the lymph node. Results: In total, 50 (90%) of the patients had oropharyngeal, four (8%) had glandular, and one (2%) had oculoglandular tularemia. The most common symptoms were sore throat (67%) and fever (64%). LAP was the most frequently (100%) observed sign. Abscess formation was noted in 36 (65%) patients, of which seven (19%) were sonographically classified as stage 1, 20 (55%) as stage 2, and nine (26%) as stage 3. There was a statistically significant correlation between delayed treatment and stage of abscess formation in lymph nodes ( p < 0.05). Treatment failure was observed in 24 (44%) patients. There was no significant correlation between treatment regimen and treatment failure ( p > 0.05). In all, nine (16%) of the patients did not respond to medical treatment, and surgical intervention was required. Conclusion: Tularemia should be considered in the differential diagnosis of children presenting with unexplained fever, sore throat, and cervical LAP in endemic areas. Sonographic findings may be useful in the evaluation and staging of this infection.

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Tularemia

Cited by 4 publications

References 142 publications

Acute Onset Descending Paralysis in an Infant Newly Diagnosed With Pneumonia

Acute Onset Descending Paralysis in an Infant Newly Diagnosed With Pneumonia

Unusual Presentatıon Of Oropharyngeal Tularemıa: A Case Report

Evaluation of Clinical and Sonographic Features in 55 Children with Tularemia

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