Imaging Findings of Ulceroglandular Tularemia
Open Access
- 25 January 2017
- journal article
- case report
- Published by EduRad in Journal of Radiology Case Reports
- Vol. 11 (1), 1-6
- https://doi.org/10.3941/jrcr.v11i1.2983
Abstract
Francisella tularensis, the causative organism in Tularemia, is a relatively rare disease. There are a few radiological clues to elucidate its presence when suspicion arises. There should be strong consideration for Tularemia in the differential of any patient with its classic symptoms, diffuse cervical lymphadenopathy with evidence of necrosis, and enlarged adenoids. Ultrasound may demonstrate suppurative lymphadenopathy suggestive of infection, as in the case presented. CT often will demonstrate the extent of lymphadenopathy. On chest radiography, tularemia pneumonia is often the presenting finding, which may demonstrate bilateral or lobar infiltrates. Additionally, hilar lymphadenopathy and pleural effusions are often associated findings. Cavitary lesions may be present, which are better delineated on CT scan. We present a case of a 7-year-old male who presented with a painful right-sided palpable neck mass for 9 days, who was diagnosed with Tularemia after numerous admissions.Keywords
This publication has 13 references indexed in Scilit:
- Ecology of Tularemia in Central US Endemic RegionCurrent Tropical Medicine Reports, 2016
- Case 4-2016The New England Journal of Medicine, 2016
- Evaluation of tularaemia courses: a multicentre study from TurkeyClinical Microbiology & Infection, 2014
- Ulceroglandular TularemiaPediatric Dermatology, 2011
- Special Topic on Francisella tularensis and TularemiaFrontiers in Microbiology, 2011
- Resurgence of Lymphogranuloma Venereum in Western Europe: An Outbreak ofChlamydia trachomatisSerovar L2Proctitis in The Netherlands among Men Who Have Sex with MenClinical Infectious Diseases, 2004
- Viral Pneumonias in Adults: Radiologic and Pathologic FindingsRadioGraphics, 2002
- IMAGING OF GRANULOMATOUS LESIONS OF THE NECK IN CHILDRENRadiologic Clinics of North America, 2000
- Radiographic spectrum of pleuropulmonary tularemiaAmerican Journal of Roentgenology, 1978
- Pulmonary tularemia. A report of five cases and consideration of pathogenesis and terminology.Published by Elsevier BV ,1967