[A tularemia mimicking lymphoma].
Une tularémie mimant un lymphome.
Adénopathies
Adénopathies granulomateuses
Francisella tularensis
Granulomatous lymphadenitis
Lymphadenitis
Lymphoma
Lymphome
Tularemia
Tularémie
Journal
La Revue de medecine interne
ISSN: 1768-3122
Titre abrégé: Rev Med Interne
Pays: France
ID NLM: 8101383
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
14
12
2019
revised:
14
02
2020
accepted:
06
03
2020
pubmed:
4
5
2020
medline:
23
1
2021
entrez:
4
5
2020
Statut:
ppublish
Résumé
Adenopathies are a frequent cause of recourse in internal medicine. When histological analysis reveals the presence of granuloma, multiple infectious or non-infectious etiologies are considered. If diagnoses of lymphoma, sarcoidosis or tuberculosis are easily mentioned, tularemia should also be considered in the differential diagnosis. A 54-year-old patient had a fever at the evening with night sweats and a cough resistant to two lines of antibiotics. A thoraco-abdomino-pelvic CT scan revealed hilar and mediastinal adenopathies that appeared hypermetabolic with PET-TDM, as well as pulmonary nodules. A PCR performed on lymph node biopsy and serology allowed the diagnosis of tularemia. The evolution was favourable after antibiotic treatment. The association of fever, night sweats, altered general state and mediastinal adenopathies should be considered as a diagnosis of tularemia. Ganglionic biopsy, combined with molecular biology techniques and serology, can confirm the diagnosis.
Identifiants
pubmed: 32359978
pii: S0248-8663(20)30110-7
doi: 10.1016/j.revmed.2020.03.008
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Ciprofloxacin
5E8K9I0O4U
Types de publication
Case Reports
Journal Article
Langues
fre
Sous-ensembles de citation
IM
Pagination
632-636Informations de copyright
Copyright © 2020. Published by Elsevier Masson SAS.