Tularemia with cervical lymphadenopathy; A case report.

概要

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Tularemia is a relatively uncommon disease which causes cervical lymphadenopathy. A 44-year old man noticed lateral cervical swelling, fever and sore throat. The swelling continued for about one month. Examination of the neck revealed a hard elastic tender mass on the right side. The skin over the mass was reddish. Surgical exploration of the neck showed a mass filled with pus just under the skin. After the mass was excised, some lymph nodes were found under the mass and one of them was excised. The histological diagnosis was tularemia or cat scratch disease. The titer of serum tularemia agglutinins was 1:160. The transverse diameters of the erythemic response to the specific skin test of Francisella tularensis were 9×11mm. Therefore we concluded that he had tularemia. The patient had an uneventful postoperative course.
耳鼻咽喉科臨床学会の論文