AI Summary & Key Takeaways
AI InsightIn the differential diagnosis of caseified granulomatous lymphadenitis, non-tuberculosis infections such as tularemia should also be taken into consideration, taking epidemiological data into account.
📌 3 Key Takeaways
Abstract
A 34-year-old female patient was admitted to our clinic with swelling on the left side of her neck ongoing for 18 months. The patient was living in a village endemic for tularemia. The patient had no history of animal contact or tick bite. She had a history of using spring water. Caseified granulomatous reaction was reported in the pathological evaluation of lymph node biopsy, and Francisella tularensis microagglutination test was positive. Streptomycin treatment was initiated with the diagnosis of oropharyngeal tularemia and clinical response was obtained. In the differential diagnosis of caseified granulomatous lymphadenitis, non-tuberculosis infections such as tularemia should also be taken into consideration, taking epidemiological data into account.
Özet
Otuz dört yaşında kadın hasta, 18 aydır devam eden sol boyunda şişlik nedeniyle başvurdu. Hasta tulareminin endemik olduğu birköyde oturuyordu. Hayvan teması, kene tutunması, çevrede benzer hastalık öyküsü olmayan hastanın kaynak suyu kullanma öyküsüvardı. Yapılan lenf nodu biyopsisinde kazeifiye granülomatöz reaksiyon saptanan hastada, Francisella tularensis mikroaglütinasyontesti (MAT) pozitif sonuçlandı. Orofaringeal tularemi tanısıyla streptomisin tedavisi başlanan hastada klinik yanıt alındı. Lenfadenopatiile izlenen hastalarda biyopside kazeifiye granülomatöz reaksiyon görüldüğünde, epidemiyolojik verileri göz önünde bulundurarak,tularemi gibi tüberküloz dışı infeksiyonlar da ayırıcı tanıda dikkate alınmalıdır.