Ozsürekci Yasemin, Ceyhan Mehmet, Celik Melda, Kara Ateş, Cengiz Ali Bülent, Ozgen-Mocan Burçe
Pediatric Infectious Disease Unit, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Turk J Pediatr. 2011 Sep-Oct;53(5):554-7.
Tularemia is a zoonotic disease caused by Francisella tularensis. Tularemia presents with various clinical forms, such as ulceroglandular, glandular, oculoglandular, oropharyngeal, pneumonic, and typhoidal tularemia forms. As an intracellular pathogen, F. tularensis causes granulomatous and suppurative lesions especially in the affected regional lymph nodes and various organs. Tularemia is seen most commonly in the Black Sea and Marmara regions of Turkey. Herein, we describe a girl with tularemia who presented with right cervical lymphadenopathy and left nasopharyngeal mass. To the best of our knowledge, this is the first reported case of tularemia with deep neck infection and also the first tularemia case from Corum, a city in the central Anatolian region of Turkey.
兔热病是由土拉弗朗西斯菌引起的一种人畜共患病。兔热病有多种临床形式，如溃疡腺型、腺型、眼腺型、口咽型、肺型和伤寒型兔热病。作为一种细胞内病原体，土拉弗朗西斯菌会引起肉芽肿性和化脓性病变，尤其是在受影响的区域淋巴结和各个器官。兔热病在土耳其的黑海和马尔马拉地区最为常见。在此，我们描述了一名患有兔热病的女孩，她表现为右侧颈部淋巴结病和左侧鼻咽部肿块。据我们所知，这是首例报告的伴有深部颈部感染的兔热病病例，也是来自土耳其安纳托利亚中部地区科鲁姆市的首例兔热病病例。
