Tularemia and the oculoglandular syndrome of Parinaud

An 18-year-old female came to our clinic with complaints of a tender lump just under her jaw on the left side and another lump in front of her left ear, ecchymosis around the eye and some redness in the eye at the same side. After administering antibiotic therapy for two days we suspected of tularemia and referred the patient to the Infectious Diseases Department. A serum sample was taken and a fine needle aspiration biopsy was performed. The patient was diagnosed with tularemia, the oculoglandular syndrome of Parinaud. Tularemia should also be kept in mind for differential diagnosis in patients with both ocular and glandular symptoms in endemic regions like Turkey and the appropriate therapy should be initiated immediately.

Nasal deformities due to birth trauma

One thousand and two hundred fifty three newborns were investigated with a view to determine deformities of the nose within 3 days following delivery. Inspection, compression test and anterior rhinoscopy were used as the examination methods. 19.23% of the cases showed deformities of the nose; out of these 4.30% cases showed sever deformities while 14.92 showed minor effects. The effects following Caesarean Section deliveries were 7.69%, those in apparently normal deliveries 19.4%. Forceps assisted children with 52.94% and those delivered by ventouse method 36.84%. The mother's age and deformities of the nose enjoy an inversely proportional relationship to each other. An early reposition in the affected cases is strongly recommended