Nasopharyngeal tuberculosis - A case report
DOI:
https://doi.org/10.34631/sporl.79Keywords:
Tuberculosis, Nasopharynx, Cervical lymphadenopathiesAbstract
Tuberculosis (TB) is the most common infectious disease in the world. It has many different types of manifestations, being able to affect many organs and resembling other pathologies, including carcinomas. It´s presentation in the nasopharynx is very rare and the main symptom is cervical lymphadenopathies. A case of a 16 year old boy with nasopharyngeal tuberculosis is reported. The diagnostic was difficult to achieve because of the rare location and due to negative test results. The patient was administered tuberculostatic drugs and total regression of symptoms and signs was observed after 9 months. More often than wanted, only after a therapeutic test is the diagnosis made. It is important to consider TB has a differential diagnosis in patients with nasopharyngeal masses and cervical lymphadenopathies.
References
Tas E, Sahin E, Vural S, Turkoz HK, et al. Upper Respiratory Tract Tuberculosis: Our experience of three cases and review of article. The Internet Journal of Otorhinolaryngology (Online Ed.). 2007;1(6). www.ispub.com/journal/the-internet-journal-of-otorhinolaryngology/volume-6-number-1/upper-respiratory-tract-tuberculosis-ourexperience-of-three-cases-and-review-of-article.html Acedido em Março 21, 2010.
Prasad BKD, Kejriwal GS, Sahu SN. Case report: Nasopharyngeal tuberculosis. Indian J Radiol Imaging. 2008 Fev;1(18):63-64.
Srirompotong S, Yimtae K, Jintakanon D. Nasopahryngeal tuberculosis: Manifestations between 1991 and 2001. Otolaryngology - Head and Neck Surgery. 2004 Nov;131(5):762-4.
Direcção Geral de Saúde. Programa Nacional de Luta contra a Tuberculose: Ponto da Situação Epidemiológica e de Desempenho (Online). 2011 Mar. www.dgs.pt/upload/membro.id/ficheiros/i012626.pdf Acedido em Dezembro 13, 2011.
World Health Organization. Global Tuberculosis Control 2011 (Online). 2011. www.who.int/tb/publications/global_report/2011/gtbr11_full.pdf Acedido em Fevereiro 22, 2012.
Sharma SK, Mohan A. Extrapulmonary tuberculosis. Indian J Med Res. 2004 Oct;120:316-353.
Koktenera A. Nasopharyngeal tuberculosis. European Journal of Radiology. 2001;39:186-187.
Yosunkaya S, Ozturk K, Manden E, Cetin T. Primary nasopharyngeal tuberculosis in a pacient with symptoms of obstructive sleep apnea. Sleep Medicine. 2006 Jul;9(5):590.
King AD, Ahuja AT, Tse GMK, van Hasselt AA et al. MR Imaging Features of Nasopharyngeal Tuberculosis: Report of three cases and literature review. Am J Neuroradiol. 2003 Feb;24:279-282.
Martínez A, Lede A, Fernández JA. Primary Rhinopharyngeal Tuberculosis: An Unsusual Location. Acta Otorrinolaringol Esp.
;62(5):401-3.
Rohwedder JJ. Upper Respiratory Tract Tuberculosis. Annals of Internal Medicine. 1974;80:708-713.
Omrani M, Ansari MH, Agaverdizadae D. PCR and Elisa methods (IgG and IgM): their comparison with conventional techniques for diagnosis of Mycobacterium tuberculosis. Pak J Biol Sci. 2009 Feb;12(4):373-7.
Trajman A, Kaisermann C, Luiz RR, Sperhacke RD,et al. Pleural fluid ADA, IgA-ELISA and PCR sensitivities for the diagnosis of pleural tuberculosis. Scand J Clin Lab Invest. 2007;67(8):877-84.
Nagdev KJ, Kashyap RS, Deshpande PS, Purohit HJ, et al.Comparative evaluation of a PCR assay with an in-house ELISA method for diagnosis of Tuberculous meningitis. Med Sci Monit. 2010 Jun;16(6):CR289-95.
Bang E, Sinert RH, Li J. Tuberculosis. emedicine (Online), 2009. http://emedicine.medscape.com/article/787841overview#showall Acedido em Março 24, 2010.
