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Flashcard 7679501798668

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Dans quel(s) contexte(s) épidémiologique(s) surviennent généralement les cas de Tularémie oropharyngée ?
Answer
Guerre ou désastres naturels
"However, pharyngeal disease accounts for a larger percentage of cases in other parts of the world, particularly in outbreaks in the setting of war or natural disaster [13]." - UpToDate

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Pharyngeal tularemia involves the mouth and throat and accounts for a small percentage of cases in the United States. However, pharyngeal disease accounts for a larger percentage of cases in other parts of the world, particularly in outbreaks in the setting of war or natural disaster [13].

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, including a case of unilateral uveitis [11,12]. Suppurative lymph nodes can also occur with oculoglandular disease. (See 'Ulceroglandular disease' above.) Pharyngeal (oropharyngeal) disease — <span>Pharyngeal tularemia involves the mouth and throat and accounts for a small percentage of cases in the United States. However, pharyngeal disease accounts for a larger percentage of cases in other parts of the world, particularly in outbreaks in the setting of war or natural disaster [13]. It results from an oropharyngeal portal of infection, usually ingestion of contaminated food or water. Transmission can also occur from oral exposure to contaminated droplets or by hand







Flashcard 7679504682252

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question

Oculoglandular tularemia

Dans la Tularémie oculoglandulaire, comment est latéralisée l'atteinte clinique ?

Answer

Unliatéralement

"Eye symptoms are usually unilateral [...]" - UpToDate


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ia cases. It occurs when F. tularensis gains access to the conjunctiva, either via splashing infected material into the eye, rubbing the eyes with contaminated fingers, or by infected aerosols. <span>Eye symptoms are usually unilateral and include pain, photophobia, and increased tearing. Eye examination demonstrates conjunctival erythema with edema and vascular engorgement. Some patients may have conjunctival purulence, small conjunctival ulcers or nodules, and periorb

Original toplevel document

UpToDate
ar disease, there is no evident lesion at the site of inoculation. Suppurative lymph nodes can also occur with glandular disease. (See 'Ulceroglandular disease' above.) Oculoglandular disease — <span>Oculoglandular tularemia refers to infection involving the eye and accounts for a small percentage of tularemia cases. It occurs when F. tularensis gains access to the conjunctiva, either via splashing infected material into the eye, rubbing the eyes with contaminated fingers, or by infected aerosols. Eye symptoms are usually unilateral and include pain, photophobia, and increased tearing. Eye examination demonstrates conjunctival erythema with edema and vascular engorgement. Some patients may have conjunctival purulence, small conjunctival ulcers or nodules, and periorbital erythema and/or edema [10]. Tender regional adenopathy may be present in the preauricular, postauricular, cervical, and submandibular regions. Parinaud's oculoglandular syndrome specifically refers to conjunctivitis in one eye and swollen lymph nodes in front of the ear on the same side; F. tularensis is one cause of this syndrome. (See 'Differential diagnosis' below.) Complications include corneal ulceration and dacryocystitis. Tularemia also has been associated with other less common ocular manifestations, including a case of unilateral uveitis [11,







Flashcard 7679507041548

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question

Oculoglandular tularemia

Quels sont les principaux symptômes décrits par les patients au cours de la Tularémie oculo-glandulaire ?

Answer

  • Douleur
  • Photophobie
  • Larmoiement

"Eye symptoms [...] include pain, photophobia, and increased tearing" - UpToDate


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ia cases. It occurs when F. tularensis gains access to the conjunctiva, either via splashing infected material into the eye, rubbing the eyes with contaminated fingers, or by infected aerosols. <span>Eye symptoms are usually unilateral and include pain, photophobia, and increased tearing. Eye examination demonstrates conjunctival erythema with edema and vascular engorgement. Some patients may have conjunctival purulence, small conjunctival ulcers or nodules, and periorb

Original toplevel document

UpToDate
ar disease, there is no evident lesion at the site of inoculation. Suppurative lymph nodes can also occur with glandular disease. (See 'Ulceroglandular disease' above.) Oculoglandular disease — <span>Oculoglandular tularemia refers to infection involving the eye and accounts for a small percentage of tularemia cases. It occurs when F. tularensis gains access to the conjunctiva, either via splashing infected material into the eye, rubbing the eyes with contaminated fingers, or by infected aerosols. Eye symptoms are usually unilateral and include pain, photophobia, and increased tearing. Eye examination demonstrates conjunctival erythema with edema and vascular engorgement. Some patients may have conjunctival purulence, small conjunctival ulcers or nodules, and periorbital erythema and/or edema [10]. Tender regional adenopathy may be present in the preauricular, postauricular, cervical, and submandibular regions. Parinaud's oculoglandular syndrome specifically refers to conjunctivitis in one eye and swollen lymph nodes in front of the ear on the same side; F. tularensis is one cause of this syndrome. (See 'Differential diagnosis' below.) Complications include corneal ulceration and dacryocystitis. Tularemia also has been associated with other less common ocular manifestations, including a case of unilateral uveitis [11,







Flashcard 7679509400844

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question

Oculoglandular tularemia

Dans quels territoires anatomiques se développe généralement l'adénopathie accompagnant la conjonctivite de la Tularémie oculo-glandulaire ?

Answer

  • Pré-auriculaire
  • Post-auriculaire
  • Cervical
  • Sub-mandibulaire

"Tender regional adenopathy may be present in the preauricular, postauricular, cervical, and submandibular regions" - UpToDate


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rates conjunctival erythema with edema and vascular engorgement. Some patients may have conjunctival purulence, small conjunctival ulcers or nodules, and periorbital erythema and/or edema [10]. <span>Tender regional adenopathy may be present in the preauricular, postauricular, cervical, and submandibular regions. Parinaud's oculoglandular syndrome specifically refers to conjunctivitis in one eye and swollen lymph nodes in front of the ear on the same side; F. tularensis is one cause of this syn

Original toplevel document

UpToDate
ar disease, there is no evident lesion at the site of inoculation. Suppurative lymph nodes can also occur with glandular disease. (See 'Ulceroglandular disease' above.) Oculoglandular disease — <span>Oculoglandular tularemia refers to infection involving the eye and accounts for a small percentage of tularemia cases. It occurs when F. tularensis gains access to the conjunctiva, either via splashing infected material into the eye, rubbing the eyes with contaminated fingers, or by infected aerosols. Eye symptoms are usually unilateral and include pain, photophobia, and increased tearing. Eye examination demonstrates conjunctival erythema with edema and vascular engorgement. Some patients may have conjunctival purulence, small conjunctival ulcers or nodules, and periorbital erythema and/or edema [10]. Tender regional adenopathy may be present in the preauricular, postauricular, cervical, and submandibular regions. Parinaud's oculoglandular syndrome specifically refers to conjunctivitis in one eye and swollen lymph nodes in front of the ear on the same side; F. tularensis is one cause of this syndrome. (See 'Differential diagnosis' below.) Complications include corneal ulceration and dacryocystitis. Tularemia also has been associated with other less common ocular manifestations, including a case of unilateral uveitis [11,







Flashcard 7679514905868

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Citer deux complications de la Tularémie oculo-glandulaire
Answer

  • Dacryocystite
  • Ulcération cornéenne

"Complications include corneal ulceration and dacryocystitis" - UpToDate


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Complications include corneal ulceration and dacryocystitis. Tularemia also has been associated with other less common ocular manifestations, including a case of unilateral uveitis [11,12]. Suppurative lymph nodes can also occur with oculoglandu

Original toplevel document

UpToDate
specifically refers to conjunctivitis in one eye and swollen lymph nodes in front of the ear on the same side; F. tularensis is one cause of this syndrome. (See 'Differential diagnosis' below.) <span>Complications include corneal ulceration and dacryocystitis. Tularemia also has been associated with other less common ocular manifestations, including a case of unilateral uveitis [11,12]. Suppurative lymph nodes can also occur with oculoglandular disease. (See 'Ulceroglandular disease' above.) Pharyngeal (oropharyngeal) disease — Pharyngeal tularemia involves the mouth and throat and accounts for a small percentage of cases in the United







Flashcard 7679517265164

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Que peut-on observer à l'examen de la conjonctive oculaire au cours de la Tularémie oculo-glandulaire ?
Answer

  • Érythème
  • Oedème avec congestion vasculaire
  • Sécrétions purulentes
  • Petites ulcérations et nodules conjonctivaux

"Eye examination demonstrates conjunctival erythema with edema and vascular engorgement. Some patients may have conjunctival purulence, small conjunctival ulcers or nodules" - UpToDate


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ng infected material into the eye, rubbing the eyes with contaminated fingers, or by infected aerosols. Eye symptoms are usually unilateral and include pain, photophobia, and increased tearing. <span>Eye examination demonstrates conjunctival erythema with edema and vascular engorgement. Some patients may have conjunctival purulence, small conjunctival ulcers or nodules, and periorbital erythema and/or edema [10]. Tender regional adenopathy may be present in the preauricular, postauricular, cervical, and submandibular regions. Parinaud's oculoglandular

Original toplevel document

UpToDate
ar disease, there is no evident lesion at the site of inoculation. Suppurative lymph nodes can also occur with glandular disease. (See 'Ulceroglandular disease' above.) Oculoglandular disease — <span>Oculoglandular tularemia refers to infection involving the eye and accounts for a small percentage of tularemia cases. It occurs when F. tularensis gains access to the conjunctiva, either via splashing infected material into the eye, rubbing the eyes with contaminated fingers, or by infected aerosols. Eye symptoms are usually unilateral and include pain, photophobia, and increased tearing. Eye examination demonstrates conjunctival erythema with edema and vascular engorgement. Some patients may have conjunctival purulence, small conjunctival ulcers or nodules, and periorbital erythema and/or edema [10]. Tender regional adenopathy may be present in the preauricular, postauricular, cervical, and submandibular regions. Parinaud's oculoglandular syndrome specifically refers to conjunctivitis in one eye and swollen lymph nodes in front of the ear on the same side; F. tularensis is one cause of this syndrome. (See 'Differential diagnosis' below.) Complications include corneal ulceration and dacryocystitis. Tularemia also has been associated with other less common ocular manifestations, including a case of unilateral uveitis [11,







Flashcard 7679519624460

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Quel est l'éponyme du syndrome se manifestant par une conjonctivite unilatérale accompagnée d'une adénopathie pré-auriculaire dont la Tularémie peut être une cause ?
Answer

Le syndrome oculoglandulaire de Parinaud

"Parinaud's oculoglandular syndrome specifically refers to conjunctivitis in one eye and swollen lymph nodes in front of the ear on the same side; F. tularensis is one cause of this syndrome" - UpToDate


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ll conjunctival ulcers or nodules, and periorbital erythema and/or edema [10]. Tender regional adenopathy may be present in the preauricular, postauricular, cervical, and submandibular regions. <span>Parinaud's oculoglandular syndrome specifically refers to conjunctivitis in one eye and swollen lymph nodes in front of the ear on the same side; F. tularensis is one cause of this syndrome. (See 'Differential diagnosis' below.) <span>

Original toplevel document

UpToDate
ar disease, there is no evident lesion at the site of inoculation. Suppurative lymph nodes can also occur with glandular disease. (See 'Ulceroglandular disease' above.) Oculoglandular disease — <span>Oculoglandular tularemia refers to infection involving the eye and accounts for a small percentage of tularemia cases. It occurs when F. tularensis gains access to the conjunctiva, either via splashing infected material into the eye, rubbing the eyes with contaminated fingers, or by infected aerosols. Eye symptoms are usually unilateral and include pain, photophobia, and increased tearing. Eye examination demonstrates conjunctival erythema with edema and vascular engorgement. Some patients may have conjunctival purulence, small conjunctival ulcers or nodules, and periorbital erythema and/or edema [10]. Tender regional adenopathy may be present in the preauricular, postauricular, cervical, and submandibular regions. Parinaud's oculoglandular syndrome specifically refers to conjunctivitis in one eye and swollen lymph nodes in front of the ear on the same side; F. tularensis is one cause of this syndrome. (See 'Differential diagnosis' below.) Complications include corneal ulceration and dacryocystitis. Tularemia also has been associated with other less common ocular manifestations, including a case of unilateral uveitis [11,







Flashcard 7679521983756

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Que peut-on déceler à l'examen orbito-palpébral au cours de la Tularémie oculo-glandulaire ?
Answer

Oedème et/ou érythème péri-orbitaire

"Eye examination demonstrates conjunctival erythema with edema and vascular engorgement. Some patients may have conjunctival purulence, small conjunctival ulcers or nodules, and periorbital erythema and/or edema [10]" - UpToDate


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ng infected material into the eye, rubbing the eyes with contaminated fingers, or by infected aerosols. Eye symptoms are usually unilateral and include pain, photophobia, and increased tearing. <span>Eye examination demonstrates conjunctival erythema with edema and vascular engorgement. Some patients may have conjunctival purulence, small conjunctival ulcers or nodules, and periorbital erythema and/or edema [10]. Tender regional adenopathy may be present in the preauricular, postauricular, cervical, and submandibular regions. Parinaud's oculoglandular syndrome specifically refers to conjunctivi

Original toplevel document

UpToDate
ar disease, there is no evident lesion at the site of inoculation. Suppurative lymph nodes can also occur with glandular disease. (See 'Ulceroglandular disease' above.) Oculoglandular disease — <span>Oculoglandular tularemia refers to infection involving the eye and accounts for a small percentage of tularemia cases. It occurs when F. tularensis gains access to the conjunctiva, either via splashing infected material into the eye, rubbing the eyes with contaminated fingers, or by infected aerosols. Eye symptoms are usually unilateral and include pain, photophobia, and increased tearing. Eye examination demonstrates conjunctival erythema with edema and vascular engorgement. Some patients may have conjunctival purulence, small conjunctival ulcers or nodules, and periorbital erythema and/or edema [10]. Tender regional adenopathy may be present in the preauricular, postauricular, cervical, and submandibular regions. Parinaud's oculoglandular syndrome specifically refers to conjunctivitis in one eye and swollen lymph nodes in front of the ear on the same side; F. tularensis is one cause of this syndrome. (See 'Differential diagnosis' below.) Complications include corneal ulceration and dacryocystitis. Tularemia also has been associated with other less common ocular manifestations, including a case of unilateral uveitis [11,







Flashcard 7679524343052

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Quelle est la principale différence entre la forme ulcéro-glandulaire et glandulaire de la Tularémie ?
Answer

Absence de lésion au site d'inoculation

"[...] in glandular disease, there is no evident lesion at the site of inoculation." - UpToDate


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Glandular disease is transmitted via the same mechanism as ulceroglandular disease, and the clinical features of the associated adenopathy are the same, but in glandular disease, there is no evident lesion at the site of inoculation. Suppurative lymph nodes can also occur with glandular disease.

Original toplevel document

UpToDate
common presentation in adults (16 percent of cases) [4]. Among 177 tularemia patients identified in France between 2008 and 2017, glandular disease was the second most common presentation [6]. <span>Glandular disease is transmitted via the same mechanism as ulceroglandular disease, and the clinical features of the associated adenopathy are the same, but in glandular disease, there is no evident lesion at the site of inoculation. Suppurative lymph nodes can also occur with glandular disease. (See 'Ulceroglandular disease' above.) Oculoglandular disease — Oculoglandular tularemia refers to infection involving the eye and accounts for a small percentage of tularemia cases. It







Flashcard 7679526702348

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
[VoF] - Les caractéristiques de l'adénopathie dans la forme ulcéro-glandulaire et la forme glandulaire de la Tularémie sont les mêmes ?
Answer

VRAI

"[...] the clinical features of the associated adenopathy are the same [...]" - UpToDate


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Glandular disease is transmitted via the same mechanism as ulceroglandular disease, and the clinical features of the associated adenopathy are the same, but in glandular disease, there is no evident lesion at the site of inoculation. Suppurative lymph nodes can also occur with glandular disease.

Original toplevel document

UpToDate
common presentation in adults (16 percent of cases) [4]. Among 177 tularemia patients identified in France between 2008 and 2017, glandular disease was the second most common presentation [6]. <span>Glandular disease is transmitted via the same mechanism as ulceroglandular disease, and the clinical features of the associated adenopathy are the same, but in glandular disease, there is no evident lesion at the site of inoculation. Suppurative lymph nodes can also occur with glandular disease. (See 'Ulceroglandular disease' above.) Oculoglandular disease — Oculoglandular tularemia refers to infection involving the eye and accounts for a small percentage of tularemia cases. It







Flashcard 7679529323788

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Dans la série française de cas de Tularémie de 2008 à 2017, quelle était la deuxième forme clinique la plus fréquente ?
Answer

La forme glandulaire

"Among 177 tularemia patients identified in France between 2008 and 2017, glandular disease was the second most common presentation." - UpToDate


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Among 177 tularemia patients identified in France between 2008 and 2017, glandular disease was the second most common presentation [6].

Original toplevel document

UpToDate
mong children (44 percent of cases), and it was the second most common presentation overall (28 percent of cases); it was the third most common presentation in adults (16 percent of cases) [4]. <span>Among 177 tularemia patients identified in France between 2008 and 2017, glandular disease was the second most common presentation [6]. Glandular disease is transmitted via the same mechanism as ulceroglandular disease, and the clinical features of the associated adenopathy are the same, but in glandular disease, there







Flashcard 7679533255948

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Dans une série de cas américaine du Misouri, dans quel pourcentage des cas l'adénopathie de la Tularémie se compliquait d'une suppuration ?
Answer

19 %

"In a review of tularemia cases in Missouri, 15 of 81 patients (19 percent) with lymphadenopathy required incision and drainage of suppurative nodes [8]." - UpToDate


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Suppuration of affected lymph nodes is a relatively common complication and may occur despite antibiotic therapy. In a review of tularemia cases in Missouri, 15 of 81 patients (19 percent) with lymphadenopathy required incision and drainage of suppurative nodes [8].

Original toplevel document

UpToDate
cribed in some patients with tularemia [7]. However, frank lymphangitis is not usually seen; its presence should suggest the uncommon complication of bacterial superinfection of the skin ulcer. <span>Suppuration of affected lymph nodes is a relatively common complication and may occur despite antibiotic therapy. In a review of tularemia cases in Missouri, 15 of 81 patients (19 percent) with lymphadenopathy required incision and drainage of suppurative nodes [8]. Recurrent lymph node suppuration despite treatment has been described in a patient with tularemia who had been treated with an anti-tumor necrosis factor (TNF) agent and methotrexate [9