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Tularemia in Otolaryngologic PracticeAn Analysis of 127 Cases
Jukka Luotonen, MD;
Hannu Syrjälä, MD;
Kalevi Jokinen, MD;
Seppo Sutinen, MD;
Aimo Salminen, MD
Arch Otolaryngol Head Neck Surg. 1986;112(1):77-80.
Abstract
• Ulceroglandular, glandular, and oropharyngeal forms of tularemia may occur in otolaryngologic patients, frequently causing diagnostic difficulties. A retrospective analysis of 127 patients with serologically proved tularemia in the head and neck region is presented with special reference to diagnostic difficulties. Short case reports of six patients are included. Difficulties seemed to appear especially in the diagnosis of glandular tularemia. Oropharyngeal tularemia is easily confused with infectious mononucleosis. A high degree of suspicion of tularemia is recommended in endemic areas.
(Arch Otolaryngol Head Neck Surg 1986;112:77-80)
Author Affiliations
From the Departments of Otolaryngology (Drs Luotonen and Jokinen), Medicine (Dr Syrjälä), Medical Microbiology (Dr Salminen), and Pathology (Dr Sutinen), Oulu (Finland) University Central Hospital and University of Oulu.
Footnotes
Accepted for publication May 24, 1985.
Reprint requests to Department of Otolaryngology, University of Oulu, SF-90220, Oulu, Finland (Dr Luotonen).
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