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Keep an Ear Out for Francisella tularensis: Otomastoiditis Cases after Canyoneering

Article scientifique 2016 Anglais

Résumé

We report here three unusual cases of otomastoiditis due to Francisella tularensis, complicated by cervical abscesses and persistent hearing loss, plus facial paralysis for one patient. Intriguingly, the three patients had practiced canyoneering independently in the same French river, between 2009 and 2014, several days before clinical symptoms onset. The results point out that fresh water exposure may be a potential contamination route for tularemia. Besides, due to the frequent complications and sequelae, we believe that F. tularensis should be considered as a possible etiology in case of otitis media, failure of the conventional antibiotic treatment, and suspicious exposure of the bacteria.

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Guerpillon, B., Boibieux, A., Guenne, C., Ploton, C., Ferry, T., Maurin, M., Forestier, E., Dauwalder, O., Manipoud, P., Ltaïef-Boudrigua, A., Gürkov, R., Vandenesch, F., Bouchiat, C. (2016). Keep an Ear Out for Francisella tularensis: Otomastoiditis Cases after Canyoneering. https://doi.org/10.3389/fmed.2016.00009

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Auteur(s)

Brice Guerpillon A. Boibieux Clemence Guenne C. Ploton Tristan Ferry Max Maurin E. Forestier Olivier Dauwalder P Manipoud Aicha Ltaïef-Boudrigua Robert Gürkov François Vandenesch Coralie Bouchiat

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