Tularemia – case series

Česká verzia

Authors: Slováková Lea ¹; Jendrálová Zuzana ¹; Čepelová Michaela ³; Cyprová Soňa ³; Bloomfield Markéta ^1,2
Authors place of work: Pediatrická klinika, 1. lékařská fakulta Univerzity Karlovy, Fakultní Thomayerova nemocnice, Praha ¹; Ústav imunologie, 2. lékařská fakulta Univerzity Karlovy, FN Motol, Praha ²; Klinika dětské hematologie a onkologie, 2. lékařská fakulta Univerzity Karlovy, FN Motol, Praha ³
Published in the journal: Čes-slov Pediat 2023; 78 (Supplementum 1): 24-29.
Category: Case Histories
doi: https://doi.org/10.55095/CSPediatrie2023/029

Summary

Lymphadenopathy is a common symptom in children, yet sometimes it may represent a differential diagnostic pitfall. Tularemia is one of the rare causes of lymphadenopathy in childhood. A clinical suspicion should arise in cases with history of insect bite or animal contact, granulomatous inflammation in biopsy specimen, negative culture results, and/or in cases which fail to respond to first-line antibiotics. Hereby, three cases of children with unexplained lymphadenopathy are presented, highlighting the practical aspects and issues potentially associated with the diagnosis and management of tularemia.

Keywords:

tularemia – Serology – Francisella tularensis – children – ulceroglandular form – lymfadenopathy

Zdroje

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