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...
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| Hauptverfasser: | , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2013
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| In: |
International journal of surgical pathology
Year: 2012, Jahrgang: 21, Heft: 1, Pages: 76-81 |
| ISSN: | 1940-2465 |
| DOI: | 10.1177/1066896912448424 |
| Online-Zugang: | Verlag, Volltext: http://dx.doi.org/10.1177/1066896912448424 Verlag, Volltext: https://doi.org/10.1177/1066896912448424 
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| Verfasserangaben: | Olcay Cem Bulut, Gerhard Dyckhoff, Wolf Splettstoesser, Johannes Nemeth, Frederick Klauschen, Roland Penzel, Peter K. Plinkert, Christian Simon, Wilko Weichert, and Albrecht Stenzinger |
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| 520 | |a 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. | ||
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