Tularaemia of middle ear with suppurative lymphadenopathy and retropharyngeal abscess
| Autor: | Robert Gürkov, M Hogardt, Ulrich Kisser, Eike Krause, W Splettstösser |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
medicine.medical_specialty Hearing Loss Conductive medicine Humans Abscess Francisella tularensis Tularemia Retropharyngeal space business.industry Retropharyngeal abscess General Medicine medicine.disease Retropharyngeal Abscess Dermatology Surgery Conductive hearing loss Otitis Media medicine.anatomical_structure Otitis Treatment Outcome Otorhinolaryngology Middle ear Female Differential diagnosis medicine.symptom business Tomography X-Ray Computed |
| Zdroj: | The Journal of laryngology and otology. 123(11) |
| ISSN: | 1748-5460 0022-2151 |
| Popis: | Objective:We report an extremely rare case of otitis media due toFrancisella 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|