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Tonsillar tuberculosis is one of the uncommon forms of extrapulmonary tuberculosis. Wereport a case of tonsillar tuberculosis associated with pulmonary and laryngeal foci.A 23-year-old female was admitted for evaluation of hoarseness and difficulty in swallowing. Bilateral palatine tonsils were enlarged, and a tonsillectomy was performed. Since a histological study revealed tonsillar tuberculosis, antituberculous agents were administered. After the treatment the pulmonary lesions detected with chest computedtomography were improved, and her symptoms were relieved. The possibility of tonsillar tuberculosis should be considered when unexplained enlarged tonsil is observed in patients with pulmonary tuberculosis. (Internal Medicine 41: 664-666, 2002)

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