Oropharyngeal tularemia with skin manifestation: Sweet’s syndrome

The authors present a case report of a patient with unilateral tonsillitis and severe non-specific inflammatory response not responding to anti- biotic therapy. Along with persistent local and systemic symptoms, the patient also developed skin exanthema and cervical lymphadenopathy. The definitive dia gnosis of oropharyngeal tularemia was confirmed after several weeks, based on serological and histological findings. Finally, the targeted antibiotic therapy led to rapid symptom resolution. The authors describe an unusual combination of the diagnoses, which resulted in a prolonged and initially unsuccessful therapy. Symptoms resembling to tonsillitis, which persist despite the use of antibiotics, should lead to reconsideration of suspected diagnosis. Key words tularemia – Sweet’s syndrome – lymphadenopathy – tonsillitis