**21.3 Lymph node abscess**

Found swollen lymph node cervical in many different disciplines of general medicine to specialized disciplines such as ear nose and throat surgery or maxillofacial surgery craniofacial. It causes swelling benign or malignant may be. Swellings or even benign cysts as a result of infection due mostly *Staphylococcus aureus* and Group A. Rare disease of animal origin also causes swelling of the lymph node is Altolemia disease. This disease shows all over the northern hemisphere, but the proportion of a 1056 case only registered in the EU in 2016 is very low [117]. Francasla Tolensis, one of the causes of Altolemia disease, is Gram-negative bacteria; been described for the first time in 1911 in the United States of America (USA). Bacteria can be divided into four different strains. Sub-species *F. tularensis* subspecies holarctica spread mostly in Europe, while the sub-species *F. tularensis* subspecies tularensis exist frequently in North America. Although it is the same bacteria can be identified in more than 250 different animal species, but the exact path of transmission to humans is not yet clear [118]. In order to avoid serious illness and complications, it is necessary to appropriate early treatment after identifying pathogens. Active substances of antibiotics are aminoglycosides and fluoroquinolones and tetracycline and chloramphenicol and rifampicin. It should not be used erythromycin as a representative of Macroledat because of natural resistance, especially for the type of mushroom ring [119].
