Ulusal Romatoloji Dergisi / Journal of Turkish Society for Rheumatology
p-ISSN: 2651-2653
e-ISSN: 2651-2661
Haner Direskeneli
2019 Volume 11
Deomed Yayıncılık
Volume 10, Issue 1, June 2018
Page(s): 14-22
Case Report
Received: November 2, 2017; Accepted: February 22, 2018; Published online: June 1, 2018
doi:10.2399/raed.18.05706; Copyright © 2018 Turkish Society for Rheumatology
A tularemia case presenting with polyarthralgia and erythema nodosum
Ahmet Çayakar1 (E-mail), Ayşe Özdemir2
1Özel Medical Park Uşak Hastanesi, İç Hastalıkları Kliniği, Uşak; 2Uşak Üniversitesi Tıp Fakültesii Tıbbi Biyokimya Anabilim Dalı, Uşak
Tularemia is a zoonotic diseases which is reported 500,000 new case every year in globally and over 500 number case comes from Turkey. Responsible agent is a Francisella tularensis which is coccobacillus shaped and gram negative bacteria. Clinical features can be changeable and depends on host immun response, inoculation dosage, entrance and virulence of bacteria. Tularemia can be emergent in various manifestation like as a subclinic mild situation or severe sepsis. Globally most observed form in human is ulceroglandular tularemia which mostly can be seen in North America, Asia and Europe. In our country oropharyngeal tularemia is most detected form and case reports has been send nearly form all regions notably Black sea and Marmara. Making diagnose is late because tularemia can be miscible with a lot of diseases especially other infections and because of delay of medical treatment, lymph node suppuration would be progressed. In despite of rare mentioned disease about differential diagnose of head and neck mass, it must come to minds especially with the case cervical lymphadenitis and erythema nodosum. Risky groups are people live in rural areas, farmers, hunters, butchers, cooks, nature lovers. Diagnostic titers are considered to be >1:160 in tube agglutination and >1:128 in microagglutination. First option in the treatment is aminoglycosides and it must be provided for at least 10 days. In this article, we try to evaluate tularemia with clinical approach of the case who admit to the clinic presenting with polyarthralgia, erythema nodosum and lymphadenopathy in the Uşak city from Aegean region in Turkey.
Keywords: Tularemia, polyarthralgia, lymphadenopathy, erythema nodosum, Turkey
RAED Dergisi / RAED Journal

Türkiye Romatoloji Derneği (TRD) yayın organıdır. Deomed Yayıncılık tarafından yayımlanmaktadır. / Official Publication of the Rheumatology Society of Turkey (TRD). Published by Deomed Publishing. Copyright © 2019, TRD.
Creative Commons License
RAED Dergisi çevrimiçi (online) sürümünde yayımlanan akademik içeriğin kullanım hakları, ilgili içerikte tersi belirtilmediği sürece Deomed Yayıncılık tarafından Creative Commons Attribution-NoCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND3.0) lisansı aracılığıyla bedelsiz sunulmaktadır. / Except where otherwise noted, academic content of this online version of the journal by Deomed Publishing is licensed under the terms of Creative Commons Attribution-NoCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND3.0) License.