%0 Journal Article
%T Oropharyngeal Tularemia: A Case of Ulcerative Pharyngitis and Necrotizing Pyogranulomatous Lymphadenitis
%A Brandon E. Fornwalt
%A Cang T. Nguyen
%A Eugene L. Potesta
%A Jr
%A Kyle P. Quillin
%J Archive of "OTO Open".
%D 2019
%R 10.1177/2473974X19833999
%X Tularemia is a rare zoonotic disease that often goes undiagnosed for several weeks, leading to delayed treatment. A 19-year-old woman presented with necrotic oropharyngeal lesions, fever, and odynophagia. Due to low clinical suspicion and nonspecific symptoms, her diagnosis was not made for 2 months. This case highlights the importance of maintaining tularemia in the differential diagnosis, especially when the patient has a history of travel to a region with previous outbreaks. St. Elizabeth Youngstown Institutional Review Board granted an exemption for this report
%K tularemia
%K rabbit fever
%K cervical adenopathy
%K necrotizing granuloma
%K necrotic tonsil
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572912/