{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T18:16:17Z","timestamp":1788113777680,"version":"build-2803163510"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,30]]},"DOI":"10.7759\/cureus.115453","type":"journal-article","created":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T18:09:01Z","timestamp":1788113341000},"source":"Crossref","is-referenced-by-count":0,"title":["A Diagnostic Challenge: Necrotizing Retropharyngeal Lymphadenitis With Microbiologically Supported Multifocal Pseudomonas aeruginosa Infection and a Tularemia-Like Presentation"],"prefix":"10.7759","author":[{"given":"Sajjad M","family":"AlKadhem","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali T","family":"Alamer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osama","family":"Kattih","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed A","family":"Al-Amoudi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zainab A","family":"Almoosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aisha M","family":"Shathele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2026.104864","article-title":"Deep neck space infections in children: peritonsillar, retropharyngeal, parapharyngeal, and Ludwig's angina emergencies in the pediatric emergency department","volume":"47","author":"Darawish SM","year":"2026","unstructured":"Darawish SM, Shahid MA, Aziz N, et al.. Deep neck space infections in children: peritonsillar, retropharyngeal, parapharyngeal, and Ludwig's angina emergencies in the pediatric emergency department. Am J Otolaryngol. 2026, 47:104864. 10.1016\/j.amjoto.2026.104864","journal-title":"Am J Otolaryngol"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31064","article-title":"Prognostic factors for retropharyngeal abscess in children receiving surgery or antibiotic therapy","volume":"134","author":"Liu Y","year":"2024","unstructured":"Liu Y, Nicotera DJ, Islam AA, Dunsky K, Lieu JE. Prognostic factors for retropharyngeal abscess in children receiving surgery or antibiotic therapy. Laryngoscope. 2024, 134:1955-60. 10.1002\/lary.31064","journal-title":"Laryngoscope"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-200211000-00015","article-title":"Community-acquired Pseudomonas aeruginosa sepsis in previously healthy infants and children: analysis of forty-three episodes","volume":"21","author":"Huang YC","year":"2002","unstructured":"Huang YC, Lin TY, Wang CH. Community-acquired Pseudomonas aeruginosa sepsis in previously healthy infants and children: analysis of forty-three episodes. Pediatr Infect Dis J. 2002, 21:1049-52. 10.1097\/00006454-200211000-00015","journal-title":"Pediatr Infect Dis J"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1710001","article-title":"Pseudomonas aeruginosa sepsis in a previously healthy infant with subcutaneous nodules and mastoid bone destruction","volume":"10","author":"Azapa\u011fas\u0131 E","year":"2021","unstructured":"Azapa\u011fas\u0131 E, \u00d6z FN, Uysal Yaz\u0131c\u0131 M, Ceylan D, Ocak E, Ta\u015f\u00e7\u0131 Y\u0131ld\u0131z Y, Aytekin C. Pseudomonas aeruginosa sepsis in a previously healthy infant with subcutaneous nodules and mastoid bone destruction. J Pediatr Intensive Care. 2021, 10:148-51. 10.1055\/s-0040-1710001","journal-title":"J Pediatr Intensive Care"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(15)00355-2","article-title":"Tularaemia: clinical aspects in Europe","volume":"16","author":"Maurin M","year":"2016","unstructured":"Maurin M, Gyuranecz M. Tularaemia: clinical aspects in Europe. Lancet Infect Dis. 2016, 16:113-24. 10.1016\/S1473-3099(15)00355-2","journal-title":"Lancet Infect Dis"},{"key":"ref6","unstructured":"Clinical testing and diagnosis for tularemia. (2024). Accessed. August 3, 2026: https:\/\/www.cdc.gov\/tularemia\/hcp\/diagnosis-testing\/index.html."},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2020.512090","article-title":"Francisella tularensis, tularemia and serological diagnosis","volume":"10","author":"Maurin M","year":"2020","unstructured":"Maurin M. Francisella tularensis, tularemia and serological diagnosis. Front Cell Infect Microbiol. 2020, 10:512090. 10.3389\/fcimb.2020.512090","journal-title":"Front Cell Infect Microbiol"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr7402a1","article-title":"Tularemia antimicrobial treatment and prophylaxis: CDC recommendations for naturally acquired infections and bioterrorism response - United States, 2025","volume":"74","author":"Nelson CA","year":"2025","unstructured":"Nelson CA, Meaney-Delman D, Fleck-Derderian S, Winberg J, Mead PS. Tularemia antimicrobial treatment and prophylaxis: CDC recommendations for naturally acquired infections and bioterrorism response - United States, 2025. MMWR Recomm Rep. 2025, 74:1-33. 10.15585\/mmwr.rr7402a1","journal-title":"MMWR Recomm Rep"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.0179","article-title":"International consensus criteria for pediatric sepsis and septic shock","volume":"331","author":"Schlapbach LJ","year":"2024","unstructured":"Schlapbach LJ, Watson RS, Sorce LR, et al.. International consensus criteria for pediatric sepsis and septic shock. JAMA. 2024, 331:665-74. 10.1001\/jama.2024.0179","journal-title":"JAMA"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/510944-a-diagnostic-challenge-necrotizing-retropharyngeal-lymphadenitis-with-microbiologically-supported-multifocal-pseudomonas-aeruginosa-infection-and-a-tularemia-like-presentation","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T18:09:03Z","timestamp":1788113343000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/510944-a-diagnostic-challenge-necrotizing-retropharyngeal-lymphadenitis-with-microbiologically-supported-multifocal-pseudomonas-aeruginosa-infection-and-a-tularemia-like-presentation"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,30]]},"references-count":9,"URL":"https:\/\/doi.org\/10.7759\/cureus.115453","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,30]]}}}