Hatice Köse

A Case of Generalized Tetanus With a Short Incubation Period

In this case report, we present a 61-year-old female who applied to the emergency service by generalized tetanus with an incubation period of 5 days, due to a dirty injury after which only the tetanus vaccine was applied. The patient whose first signs were risus sardonicus and trismus was intubated because of respiratory distress and the patient was followed in the intensive care unit afterwards. Although all the medical treatment was given, she died on the 23rd day of admission because of progressive autonomic dysfunction. Klimik Dergisi 2018; 31(1): 64-6.

Eksudatif tonsillit ayırıcı tanısında tularemi ve seyrinde görülen cilt bulguları: iki olgu sunumu

Tularemi Francisella tularensis’ in neden oldugu bir zoonotik enfeksiyon hastaligidir. Ulkemizde en sik orofaringeal tularemi gorulmektedir. Orofaringeal tularemide ates, eksudatif tonsillit/farenjit, oral mukozada ulserler ve lenfadenopati gorulebilir. Tularemi seyrinde sekonder cilt lezyonlari da gorulebilmektedir. Olgularimiz ates, bas agrisi, bogaz agrisi ile basvurmus, fizik muayenesinde eksudatif tonsillit saptanmis, tularemi seyrinde eritema nodosum ve papuler dokuntu gorulmustur. Her iki hastanin da erken baslanan uygun antibiyotik tedavisi ile tum sikayetleri ve klinik bulgulari gerilemistir. Ozellikle endemik bolgelerde eksudatif tonsillit ayirici tanisinda tularemi hatirlanmali ve seyrinde cesitli sekonder cilt lezyonlari gorulebilecegi unutulmamalidir.