Klimik Journal
Case Report

Two Tularemia Cases with Atypical Presentation

1.

Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Ankara, Türkiye

2.

Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Ankara, Türkiye

3.

Refik Saydam Hıfzıssıhha Merkezi Başkanlığı, Salgın Hastalıklar Araştırma Müdürlüğü, Ankara, Türkiye

Klimik Dergisi 2010; 23: 120-123
DOI: 10.5152/kd.2010.32
Read: 23 Downloads: 2 Published: 23 July 2019

Abstract

Tularemia is a zoonosis caused by Francisella tularensis, a Gram-negative coccobacillus. Oropharyngeal tularemia is due to bacteria penetrating the oral mucosa during intake of contaminated water and food and is the common form seen in our country. Oculoglandular tularemia is rarely reported. In this report, two oropharyngeal tularemia cases  from the same province, Cankiri, are presented. The first was associated with an oculoglandular form and the second with a diffuse skin rash. Tularemia cases have rarely been reported from this province. Cases in unexpected forms lead to difficulties in the differential diagnosis of patients. Therefore clinicians should be aware of aypical presentations, apart from the classic case descriptions, and also recognise the cutaneous lesions of tularemia and consider tularemia in patients with eruptions having an epidemiological history.

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TURKISH
ISSN1301-143X EISSN 1309-1484