An unusual cause of recurrent tonsillitis

Jadia, Shalini; Chauhan, Avadh Narayan; Hazari, Rakesh Singh; Maurya, Ashish K.; Biswas, Rakesh

doi:10.1136/bcr.12.2009.2561

Cited by 8 publications

(8 citation statements)

References 2 publications

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“…Though tuberculosis infection of the upper aerodigestive tract and the lung share the same risk factors,1 it is believed that the lower incidence rates of the former may be attributed to local antibacterial properties of the oronasal cavity, contributed by the presence of a stratified squamous epithelial lining covered by saliva and saprophytes, and constant immune surveillance by the Waldeyer’s ring 2. Tuberculosis of the oral cavity is believed to be due to direct inoculation of the mycobacterium by infected sputum and inhaled infected droplet nuclei 3.…”

Section: Discussionmentioning

confidence: 99%

Primary tonsillar tuberculosis

et al. 2018

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Upper aerodigestive tract involvement with tuberculosis is relatively rare and may be seen in up to 2% of patients with pulmonary tuberculosis. Isolated tonsil involvement with tuberculosis is not commonly seen in clinical practice. We report a case of a 22-year-old postpartum mother who presented with odynophagia, fever, loss of weight and submandibular swelling of 3 months’ duration. Clinical examination revealed a submandibular node, and oropharyngeal examination revealed necrotic slough overlying an enlarged left tonsil. Fine-needle aspiration cytology of the node and histopathological examination of the left tonsillectomy specimen revealed necrotising epithelioid cell granulomas, and stain for acid-fast bacilli was positive in the latter. She was diagnosed with tonsillar tuberculosis and was started on antituberculous treatment following which she improved clinically. This case serves to demonstrate an uncommon presentation of primary tuberculosis and reminds us to consider tuberculosis also as a microbiological aetiology for tonsillitis.

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Section: Discussionmentioning

confidence: 99%

Primary tonsillar tuberculosis

et al. 2018

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“…Extrapulmonary localization of tuberculosis is seen very rarely and tonsillar lesions are even rarer [1,4]. Upper respiratory tract is protected thanks to the inhibitor effect of the sputum on TB bacillus.…”

Section: Discussionmentioning

confidence: 99%

“…Upper respiratory tract is protected thanks to the inhibitor effect of the sputum on TB bacillus. The presence of saprophytes, the fact that striated muscles antagonize bacterial invasion and the protective epithelium of the oropharyngeal mucosa create an inhibitor effect on bacillus [1,5]. However, oral TB may develop as a result of drinking contaminated milk and the agent is frequently M. bovis.…”

Section: Discussionmentioning

confidence: 99%

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A Pulmonary Tuberculosis Case Presented with Tonsillar Involvement

Kılıç

2016

Turk Toraks Dergisi

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Tonsillar tuberculosis is a rare form of extra pulmonary tuberculosis. We reported a case with tonsillar tuberculosis secondary to pulmonary tuberculosis in this paper. A 26 year old, unimmunocompromised man admitted to head and neck surgery clinic with complaints of fever, throatache and difficulty swallowing. The patient was consulted by infectious diseases clinic because of examination findings and his history. Asid fast basili was determined in tonsillar lesion smear, sputum and the patient was diagnosed as tonsillar and pulmonary tuberculosis. Antituberculous agents were started. Complaints of the patient were decreased and any adverse effect was developed. Treatment was completed in 9 months. In patients with long-term difficulty swallowing and fever, countries in which tuberculosis is prevalent, tonsillar tuberculosis should be considered, even if the patients were unimmunocompromised.

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“…Tuberculosis of the oral cavity is rare and the tonsillar forms are extremely uncommon [2]. Prior to the introduction of chemotherapy, when tonsils removed from asymptomatic patients were subjected to histopathological examination, 6.5% of the tonsils were found to be infected with tubercles [3]. With the advent of effective antitubercular therapy Ear, Nose and Throat…”

Section: Discussionmentioning

confidence: 99%