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Tularemia: A differential diagnosis in oto-rhino-laryngology

Published online by Cambridge University Press:  29 June 2007

Stein Helge Glad Nordahl ,
Terje Hoel ,
Olaf Scheel  and
Jan Olofsson
Stein Helge Glad Nordahl*
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Haukeland University Hospital, N-5021 Bergen, Norway and the Oslo City
Terje Hoel
Affiliation:
Department of Health and Environment, Section of Epidemic Medicine, St Olavsplass 5, N-0165 Oslo, Norway
Olaf Scheel
Affiliation:
Department of Clinical Microbiology, Central Hospital of Esbjerg, DK-6700 Esbjerg, Denmark
Jan Olofsson
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Haukeland University Hospital, N-5021 Bergen, Norway and the Oslo City
*
Stein Helge Glad Nordahl, M.D., Department of Otolaryngology/Head and Neck Surgery, Haukeland University Hospital, N-5021 Bergen, Norway.
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Abstract

Tularemia can present as an oto-rhino-laryngological disease. The clinical and radiological (CT) manifestations, diagnosis and treatment are discussed based on a case report where a patient with tonsillitis and enlarged cervical lymph nodes was admitted to the department of oto-rhino-laryngology of a hospital in Northern Norway. Francisella tularensis was isolated from the blood and there was a high titre of agglutinating serum antibodies to F. tularensis. The patient's contaminated drinking water well is the suspect source of infection.

Keywords

TularemiaTonsillitis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 2 , February 1993 , pp. 127 - 129
Copyright
Copyright © JLO (1984) Limited 1993

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References

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