Tularaemia of middle ear with suppurative lymphadenopathy and retropharyngeal abscess.
J Laryngol Otol
; 123(11): 1252-7, 2009 Nov.
Article
em En
| MEDLINE
| ID: mdl-19250590
ABSTRACT
OBJECTIVE:
We report an extremely rare case of otitis media due to Francisella tularensis, complicated by multiple suppurative cervical lesions and a lasting conductive hearing loss. CASE REPORT A young woman presented with otitis media, several neck swellings and a retropharyngeal swelling. Polymerase chain reaction testing of aspirated fluid and serology confirmed the diagnosis of tularaemia. Specific antibiotic therapy initiated six weeks after the onset of initial symptoms did not resolve the disease, and open surgical drainage was necessary.CONCLUSIONS:
Otitis media unresponsive to conventional therapy and accompanied by unusually pronounced lymphadenopathy should prompt the clinician to consider tularaemia as a differential diagnosis, in order to initiate timely, specific therapy.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Otite Média
/
Tularemia
/
Abscesso Retrofaríngeo
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
J Laryngol Otol
Assunto da revista:
OTORRINOLARINGOLOGIA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Alemanha