A Case of Glandular Tularemia Applied to Surgical Drainage Due to Late Diagnosis

Abstract

Tularemia is a zoonotic infectious disease caused by Francisella tularensis, a gram-negative bacterium. The microorganism is transmitted to humans by direct contact with infected animals, through vectors such as flies and ticks, by inhalation of contaminated waters and infected aerosols. Depending on the route of transmission, infection may occur with different clinical pictures. In this study, we present a 13-year-old girl who presented to our clinic with a complaint of neck mass and then diagnosed as glandular tularemia. It is emphasized that the cases diagnosed late should not respond to medical treatment and surgical treatment is required. Diagnosis and treatment methods have been reviewed.