Primary tuberculosis of the posterior oropharyngeal wall

A Rare Case of Primary Tubercular Ulcer Over the Posterior Oropharyngeal Wall

Tuberculosis (TB) is caused by Mycobacterium tuberculosis, an acid-fast bacillus that is predominantly transmitted through the respiratory system. Although TB most commonly infects the lungs, it may also affect other organs, resulting in secondary extrapulmonary TB. Extrapulmonary TB may occur alone or in conjunction with a primary pulmonary focus, such as disseminated TB resulting from self-inoculation with infected sputum, blood, or lymphatics. The lymph nodes are the most commonly seen extrapulmonary sites of TB. Oropharyngeal tubercular lesions are infrequent, and primary TB of the oropharynx is even more uncommon. Here, we present an unusual case of oropharyngeal TB in a young immunocompetent patient occurring without any evidence of pulmonary TB or cervical lymphadenopathy.

Isolated tonsil tuberculosis

The occurrence of tuberculosis of the upper respiratory tract including oral cavity has become uncommon. Isolated tuberculosis of tonsil in the absence of active pulmonary tuberculosis is very rare clinical entity. Here is a report of tonsil tuberculosis, presented with complaints of sore throat.

[Pharyngeal tuberculosis]

OBJECTIVES

The aim of this case study was to report a rare case of acute miliary tuberculosis of the pharynx. The description of the various pathological forms of this disease and a review of the literature are included.

METHODS

Report of a case of acute miliary tuberculosis of the pharynx in a 20-year-old female patient with chronic dysphagia and weight loss.

RESULTS

Dysphagia with epistaxis and severe nutritional problems was noted. The pharyngeal examination showed diffuse granulation of the pharynx. The blood count showed an inflammatory syndrome. The tuberculin skin test was highly positive. A pharyngeal biopsy found caseous necrosis in giant cell granuloma. The prognosis was good with antituberculosis antibiotics.

CONCLUSION

Acute miliary tuberculosis of the pharynx is a rare entity. Many epidemiological studies have shown an increased frequency of this disease, which should therefore be kept mind.

[Secondary tuberculosis of palatine tonsils--the case report and review of literature]

INTRODUCTION

Tuberculosis, though rarely, is still present in the anatomical area of the laryngological examination.

MATERIAL AND METHODS

A case of 45-year-old woman with secondary tonsillar tuberculosis and poorly symptomatic pulmonary involvement is reported.

RESULTS

She presented with symptoms of chronic tonsillitis and was subjected to tonsillectomy. Because of systemic infection ailments she underwent further internal diagnosis. The histopathological examination of palatine tonsils and result of chest X-ray established the diagnosis of tuberculosis. She was treated with antituberculous drugs for 6 months and achieved improvement.

CONCLUSIONS

The difficulties in diagnosis in this unusual presentation of tuberculosis mimicking chronic non-specific inflammation as well as poorly symptomatic massive pulmonary involvement are outlined.