Unmasked: when a clinically malignant disease turns out infectious : a rare case of tularemia
This article reports on a 62-year-old man, who presented with cervical mass and rather nonspecific symptoms. The medical history and clinical workup initially favored a malignant disease such as a carcinoma of unknown primary as the underlying cause. Eventually, the patient was diagnosed with a gran...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
2013
|
| In: |
International journal of surgical pathology
Year: 2012, Volume: 21, Issue: 1, Pages: 76-81 |
| ISSN: | 1940-2465 |
| DOI: | 10.1177/1066896912448424 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1177/1066896912448424 Verlag, Volltext: https://doi.org/10.1177/1066896912448424 
|
| Author Notes: | Olcay Cem Bulut, Gerhard Dyckhoff, Wolf Splettstoesser, Johannes Nemeth, Frederick Klauschen, Roland Penzel, Peter K. Plinkert, Christian Simon, Wilko Weichert, and Albrecht Stenzinger |
| Summary: | This article reports on a 62-year-old man, who presented with cervical mass and rather nonspecific symptoms. The medical history and clinical workup initially favored a malignant disease such as a carcinoma of unknown primary as the underlying cause. Eventually, the patient was diagnosed with a granulomatous lymphadenitis caused by Francisella tularensis subsp holarctica. Tularemia is a rare disease in Western Europe and can present in multiple ways encompassing almost asymptomatic infections and fatal disease. A rapid diagnosis is often hampered by nonspecific symptoms and the generally low prevalence and incidence of this disease in endemic countries. This case report also provides a comprehensive review of the literature on cervical tularemia and discusses the differential diagnoses. |
|---|---|
| Item Description: | Gesehen am 20.06.2018 First published June 6, 2012 |
| Physical Description: | Online Resource |
| ISSN: | 1940-2465 |
| DOI: | 10.1177/1066896912448424 |