Keywords: Tularemia, Glandular tularemia, Inguinal lymphadenopathy
The aim of this study was to review adult cases who presented with inguinal lymphadenopathy (LAP) and were diagnosed with glandular tularemia, which is a rare site of involvement in Turkey.
A less common presentation after percutaneous inoculation is glandular tularemia
, in which patients develop regional lymphadenopathy without ulcer.
Signs of glandular tularemia
are similar to ulceroglandular tularemia with the exception of a skin ulcer.
While ulceroglandular and glandular tularemia
remain the more common presentation, a number of outbreaks of typhoidal and pulmonary tularemia have been reported and reflect a diverse range of environmental exposures resulting in infection.
This case report details the clinical manifestation and course of glandular tularemia, an uncommon but significant cause of cervical lymphadenopathy in children.
Moreover, the risk of morbidity and mortality in patients with glandular tularemia is best minimized by specific antimicrobial therapy that is not usually considered for the more common causes of infectious lymphadenopathy.
Water-borne outbreak of oropharyngeal and glandular tularemia
in Georgia: investigation and follow-up.
0% for patients with culture- and/or serology-verified oropharyngeal and glandular tularemia
, depending on the duration of illness, and PCR was more sensitive than culture of lymph node aspirates (63.
Analysis of 121 clinical charts revealed that children were more likely than adults to be diagnosed with glandular tularemia, whereas adults were more likely to be diagnosed with pneumonic tularemia.
Children were diagnosed with glandular tularemia more than twice as often as adults, whereas adults were diagnosed with the pneumonic form 10 times as often as children (Table).
Two primary disease manifestations, ulceroglandular and glandular tularemia
, are associated with vector-borne transmission of the bacterium (1).