Open AccessOropharyngeal Tularemia: A Case of Ulcerative Pharyngitis and Necrotizing Pyogranulomatous Lymphadenitis
Author(s) -
Quillin Kyle P.,
Fornwalt Brandon E.,
Potesta Eugene L.,
Nguyen Cang T.
Publication year - 2019
Publication title -
oto open
Language(s) - English
Resource type - Journals
ISSN - 2473-974X
DOI - 10.1177/2473974x19833999
Subject(s) - odynophagia , medicine , dermatology , sore throat , pharyngitis , differential diagnosis , surgery , rare disease , disease , pathology , dysphagia
T ularemia is a rare zoonotic disease that often goes undiagnosed for several weeks, leading to delayed treatment. A 19-year-old woman presented with necrotic oropharyngeal lesions, fever, and odynophagia. Due to low clinical suspicion and nonspecific symptoms, her diagnosis was not made for 2 months. This case highlights the importance of maintaining tularemia in the differential diagnosis, especially when the patient has a history of travel to a region with previous outbreaks. St. Elizabeth Youngstown Institutional Review Board granted an exemption for this report.