Tularemia presenting with tonsillopharyngitis and cervical lymphadenitis: Report of two cases

Abstract

Tularemia is a zoonotic disease caused by Francisella tularensis. Francisella tularensis is transmitted to humans by direct contact or ingestion of infected animal tissues, through the bite of infected arthropods, by consumption of contaminated food or water, or from inhalation of aerolized bacteria. In this report we describe 2 cases with oropharyngeal tularemia who presented with tonsillopharyngitis and cervical lymphadenitis.

Tuberculosis or tularemia? A molecular study in cervical lymphadenitis

“…unchlorinated water); this is seen especially in rural areas of countries like Turkey. [1][2][3][4] In oropharyngeal tularemia, the long duration of involvement of the lymph nodes, which appear as large masses, may lead to concern for a malignancy, such as lymphoma. This disease may also be confused with chronic infectious diseases such as tuberculosis (TB).…”

Tularaemia presenting as parapharyngeal abscess: case presentation

“…The diagnosis is based on combined evaluation of the clinical features, histopathological findings, serological tests and culture results. 23,24 Our patient healed completely following drainage of her abscess and 14 days of antimicrobial therapy (streptomycin 2 × 1 g intramuscularly). 17,21,22 Francisella tularensis is resistant to penicillins.…”

Medical Modeling of Particle Size Effects for CB Inhalation Hazards

“…Rarely are cases with inflammation of the intestines or mesenteric lymph nodes seen, probably due to the higher doses required. (Kandemir et al 2007 andHornick et al 1966) When virulent Type A strains of F. tularensis were injected intragastrically into mice, an LD 50 of 10 6 organisms was noted (1000X more than by inhalation or intradural administration). The initial infection, as with humans, was the mesenteric lymph nodes.…”