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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*
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.

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.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1993

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