Primary tonsillar tuberculosis: a forgotten clinical identity
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Abstract
Primary tonsillar tuberculosis is an uncommon entity and a diagnostic challenge. Misdiagnosis can be prevented with early professional para-clinical finding. The true diagnosis is often delayed and infection management depends on recognizing disease patterns and early laboratory documentation.
This rare clinical caseation granuloma with positive clinical symptoms, negative results of radiology/laboratory and alone based on histopathological finding without any Mycobacterium particle indicates the role of an accurate laboratory/pathology finding for urgent medical intervention treatment and lifesaving of patients, particularly in immunocompromised group.
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2. Babamahmoodi F, Alikhani A, Yazdani Charati J, Ghovvati A, Ahangarkani F, Delavarian L, et al. Clinical epidemiology and paraclinical findings in tuberculosis patients in north of Iran. Biomed Res Int 2015;2015: 381572.
3. Kennedy S. 120 years of tuberculosis research: An historical perspective from the archive of the journal of comparative pathology. J Comp Pathol 2017;156:143-146.
4. Falzon D, Schünemann HJ, Harausz E, González-Angulo L, Lienhardt C, Jaramillo E, et al. World Health Organization treatment guidelines for drug-resistant tuberculosis, 2016 update. Eur Respir J 2017;49:1602308.
5. Karki S, Karki D. Tonsillar tuberculosis: A case report. J Pathol Nepal 2016;6:1048-1050.
6. Prasad P, Bhardwaj M. Primary tuberculosis of tonsils: a case report. Case Rep Med 2012;2012:120382.
7. Sagar P, Wadhwa V, Singh I, Mallya V, Rajpurohit P. Naso-septal tuberculosis mimicking dermoid in a 3-year
old child. Iran J Otorhinolaryngol 2018;30:231-235.
8. Das A, Das SK, Pandit S, Basuthakur S. Tonsillar tuberculosis: a forgotten clinical entity. J Family Med Prim Care 2015;4:124-126.
9. Kumarguru B, Natarajan M, Biligi DS, Raghupathi A. Giant cell lesions of lungs: A histopathological and morphometric study of seven autopsy cases. J Clin Diagn Res 2015;9(11):EC12-16.
10. Ferreira S, Vaz-Marques P. Tuberculous tonsillitis in a patient treated with an anti-TNF agent. Eur J Case Rep Intern Med 2017;4(8): 000690.
11. Estomba CMC, da Costa ASA, Schmitz TR, Lago PV. Base of tongue tuberculosis: A case report. Iran J Otorhinolaryngol 2015;27:239-242.
12. Cobelens FG, Egwaga SM, Ginkel van T, Muwinge H, Matee MI, Borgdorff MW. Tuberculin skin testing in patients with HIV infection: limited benefit of reduced cutoff values. Clin Infect Dis 2006;43:634-639.
13. Balica NC, Poenaru M, Preda MA, Boia ER, Burlacu ON, Horhat ID, et al. Primary tonsillar tuberculosis–case report. Rom J Morphol Embryol 2019;60:267-271.
| Files | ||
| Issue | Vol 11 No 6 (2019) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/ijm.v11i6.2227 | |
| Keywords | ||
| Tonsil; Tuberculosis; Mycobacterium tuberculosis; Lymphadenopathy | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Motahari SJ, Afshar P, Ghasemi M, Vahedi Larijani L, Sheidaei S. Primary tonsillar tuberculosis: a forgotten clinical identity. Iran J Microbiol. 2019;11(6):542-545.
