Primary nasopharyngeal tuberculosis

Year 2009, Volume: 19 Issue: 2, 109 - 111, 12.03.2009

Abdullah Taş Recep Yağız Murat Koçyiğit Ahmet R. Karasalihoğlu

Abstract

Primary nasopharyneal tuberculosis is a rare disease which is commonly present with cervical lymphadenopathy. It is hard to differenciate the diagnosis of tuberculosis from nasopharyngeal carcinoma. Histologic and bacteriologic evaluation is required for diagnosis. A male patient at the age of nineteen applied to our clinic with the complaints of a mass in the neck, congestion in the nose, night sweating and weight loss. Clinical presentation of the patient was similar to that of a malignant tumor of the nasopharynx. Histologic and bacteriologic study supported the diagnosis of tuberculosis. After antituberculosis therapy, the complaints of the patient regressed. We present a nasopharyngeal tuberculosis case in this study.

Keywords

Nasopharynx, tuberculosis, tumor

Primer nazofarenks tüberkülozu

Abstract

Primer nazofarengeal tüberküloz servikal lenfa- denopati ile karşımıza çıkan nadir bir hastalıktır. Nazofarengeal tüberkülozun nazofarengeal karsi- nomdan ayrımı oldukça zordur. Tanı için histolojik ve bakteriolojik değerlendirme gerekmektedir. On dokuz yaşında erkek hasta boyunda kitle, burunda tıkanma, gece terlemeleri ve kilo kaybı yakın- maları ile kliniğimize başvurdu. Hastanın klinik görünümü nazofarenksin malign tümörü ile ben- zerdi. Histolojik ve bakteriolojik olarak çalışılarak tüberküloz tanısı kondu. Uygulanan antitüberküloz tedavisinden sonra hastanın yakınmaları düzeldi. Bu yazıda primer nazofarengeal tüberküloz olgusu sunuldu

Keywords

Nazofarenks, tüberküloz, tümör

References

• Waldron J, Van Hasselt CA, Skinner DW, Arnold M. Tuberculosis of the nasopharynx: clinicopathological features. Clin Otolaryngol Allied Sci 1992;17:57-9.
• Bath AP, O’Flynn P, Gibbin KP. Nasopharyngeal tuber- culosis. J Laryngol Otol 1992;106:1079-80.
• Hajioff D, Snow MH, Thaker H, Wilson JA. Primary tuberculosis of the posterior oropharyngeal wall. J Laryngol Otol 1999;113:1029-30.
• Rohwedder JJ. Upper respiratory tract tuberculosis. Sixteen cases in a general hospital. Ann Intern Med 1974;80:708-13.
• Percodani J, Braun F, Arrue P, Yardeni E, Murris-Espin M, Serrano E, et al. Nasopharyngeal tuberculosis. J Laryngol Otol 1999;113:928-31.
• Chopra RK, Kerner MM, Calcaterra TC. Primary nasopharyngeal tuberculosis: a case report and review of this rare entity. Otolaryngol Head Neck Surg 1994;111:820-3.
• Lau SK, Kwan S, Lee J, Wei WI. Source of tubercle bacilli in cervical lymph nodes: a prospective study. J Laryngol Otol 1991;105:558-61.
• al Serhani AM, al Rikabi AC, Assiry MA. Primary nasopharyngeal tuberculosis: case report and review of the literature. Ear Nose Throat J 1997;76:41-2.
• Tse GM, Ma TK, Chan AB, Ho FN, King AD, Fung KS, et al. Tuberculosis of the nasopharynx: a rare entity revisited. Laryngoscope 2003;113:737-40.
• King AD, Ahuja AT, Tse GM, van Hasselt AC, Chan AB. MR imaging features of nasopharyngeal tubercu- losis: report of three cases and literature review. AJNR Am J Neuroradiol 2003;24:279-82.
• Srirompotong S, Yimtae K, Jintakanon D. Nasopharyngeal tuberculosis: manifestations between 1991 and 2000. Otolaryngol Head Neck Surg 2004; 131:762-4.
• Chan AB, Ma TK, Yu BK, King AD, Ho FN, Tse GM. Nasopharyngeal granulomatous inflammation and tuberculosis complicating undifferentiated carcinoma. Otolaryngol Head Neck Surg 2004;130:125-30.