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Case Reports
. 2019 Jun 27;49(3):164-167.
doi: 10.4274/tjo.galenos.2018.96337.

A Rare Complication of Oropharyngeal Tularemia: Dacryocystitis

Helin Ceren Köse  1 , Melek Banu Hoşal  1
Affiliations
Case Reports

A Rare Complication of Oropharyngeal Tularemia: Dacryocystitis

Helin Ceren Köse et al. Turk J Ophthalmol. .

Abstract

Tularemia is a zoonotic disease caused by Francisella tularensis, a highly virulent gram-negative coccobacillus. Oropharyngeal tularemia, one of the clinical subtypes, is the most common clinical form of the disease in Eastern Europe, including Turkey. This clinical form affects mostly the head and neck region and the most common complaints of patients are mass in the neck, sore throat, and fever. This form of tularemia may be confused with tonsillitis, pharyngitis, or cervical lymphadenitis caused by other microbial agents due to the nonspecific clinical and laboratory features. In this study, we present a patient with nasolacrimal duct obstruction and dacryocystitis caused by oropharyngeal tularemia.

Keywords: Tularemia; nasolacrimal duct obstruction; dacryocystitis.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

Figure 1
Figure 1
A,B) Magnetic resonance images of the retropharyngeal abscess occluding the right oropharynx (yellow arrows). C,D) Magnetic resonance images of lymphadenopathies including cystic and necrotic areas in the right submandibular region (yellow arrows)
Figure 2
Figure 2
Clinical presentation of the patient with abscess in the nasolacrimal area
See this image and copyright information in PMC

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