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- Title
A rare cause of abdominal lymphadenopathy-tularemia: report of two pediatric cases.
- Authors
Gülhan, Belgin; Tezer, Hasan; Kanık-Yüksek, Saliha; Kılıç, Selçuk; Şenel, Emrah
- Abstract
Tularemia caused by Francisella tularensis occurs worldwide in the northern hemisphere, with great variation in geographic and temporal occurrence. It generally presents as an acute febrile disease with the major clinical presentations including the six classic forms of tularemia: ulceroglandular, glandular, oculoglandular, oropharyngeal, typhoidal, and pneumonic. In contrast to European countries, where the ulceroglandular form is more prominent, the oropharyngeal form is the most common presentation in Turkey. We present rare cases of oropharyngeal tularemia in a 16-year-old boy and nine-year-old girl. To the best of our knowledge, these are the firstly described abdominal lymphadenopathy cases from Turkey. The second case was admitted with erythema nodosum, and abdominal lymphadenopathy was detected during the investigation. Excisional lymph node biopsy revealed abdominal tularemia. It is necessary to consider tularemia in the differential diagnosis of abdominal lymphadenopathy in tularemia regions. We also conclude that oropharyngeal tularemia can cause lymphadenopathy in any part of the gastrointestinal tract.
- Subjects
PEDIATRICS; FRANCISELLA tularensis; TULAREMIA; ERYTHEMA; GASTROINTESTINAL diseases; LYMPH nodes; COMMUNICABLE diseases
- Publication
Turkish Journal of Pediatrics, 2014, Vol 56, Issue 2, p192
- ISSN
0041-4301
- Publication type
Article