An 18-year-old female came to our clinic with complaints of a tender lump just under her jaw on the left side and another lump in front of her left ear, ecchymosis around the eye and some redness in the eye at the same side. After administering antibiotic therapy for two days we suspected of tularemia and referred the patient to the Infectious Diseases Department. A serum sample was taken and a fine needle aspiration biopsy was performed. The patient was diagnosed with tularemia, the oculoglandular syndrome of Parinaud. Tularemia should also be kept in mind for differential diagnosis in patients with both ocular and glandular symptoms in endemic regions like Turkey and the appropriate therapy should be initiated immediately.
Journal Information
Vol. 16. Issue 1.
Pages 90-91 (January - February 2012)
Vol. 16. Issue 1.
Pages 90-91 (January - February 2012)
Open Access
Tularemia and the oculoglandular syndrome of Parinaud
Visits
3464
Emine Elif Altuntaş
, Kerem Polat, Kasim Durmuş, Ismail Önder Uysal, Suphi Müderris
Corresponding author
ealtunta@yahoo.com
Corresponding author at: Department of Otorhinolaryngology, Cumhuriyet University School of Medicine, Sivas, TR-58140, Turkey.
Corresponding author at: Department of Otorhinolaryngology, Cumhuriyet University School of Medicine, Sivas, TR-58140, Turkey.
Department of Otorhinolaryngology, Cumhuriyet University School of Medicine, Sivas, Turkey
This item has received
Article information
Abstract
Keywords:
Tularemia
Rare diseases
Parotitis
Full text is only aviable in PDF
References
[1.]
K. Switaj, M. Olszynska-Krowicka, H. Zarnowska-Prymek, et al.
Tularaemia after tick exposure – typical presentation of rare disease misdiagnosed as atypical presentation of common diseases: a case report.
Cases J, 31 (2009), pp. 7954
[2.]
T. Kantardjiev, P. Padeshki, I.N. Ivanov.
Diagnostic approaches for oculoglandular tularemia: advantages of PCR.
Br J Ophthalmol, 91 (2007), pp. 1206-1208
[3.]
D. Ozdemir, I. Sencan, A.N. Annakkaya, et al.
Comparison of the 2000 and 2005 outbreaks of tularemia in the Duzce region of Turkey.
Jpn J Infect Dis, 60 (2007), pp. 51-52
[4.]
R.L. Penn.
Francisella tularensis (tularemia).
Mandell, Douglas and Bennetts Principles and Practice of Infectious Diseases, pp. 2674-2685
[5.]
H. Leblebicioglu, S. Esen, D. Turan, et al.
Outbreak of tularemia: a case-control study and environmental investigation in Turkey.
Int J Infect Dis, 12 (2008), pp. 265-269
[6.]
J.J. Kanski.
Clinical Ophthalmology A Systemic Approach.
6TH edition., Butterworths- Heinemann London, (2007),
[7.]
K.N. Mezricka.
Oculoglandular syndrome in tularemia in our region.
Cesk Oftalmol, 19 (1963), pp. 343-347
[8.]
S.A. Halperin, T. Gast, P. Ferrieri.
Oculoglandular syndrome caused by Francisella tularensis.
Clin Pediatr (Phila), 24 (1985), pp. 520-522
Copyright © 2012. Elsevier Editora Ltda.. All rights reserved