Nasal or Nasopharyngeal Tuberculosis Should be Considered in the Initial Diagnosis of Sino-Nasal Inflammatory Diseases

Min, Hyun Jin; Kim, Chang Hoon

doi:10.3349/ymj.2017.58.2.471

Cited by 7 publications

(11 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In secondary cases, spread occurs directly through the airways from the lungs or via hematogenous or lymphatic routes. 3 Between 20% and 40% of patients manifest with nasopharyngeal masses, 2 as with our patient. Although pulmonary and laryngeal diseases have been frequently cited as risk factors for transmissibility of tuberculosis, 4 the risk of transmission in nasopharyngeal diseases is not well described.…”

supporting

confidence: 61%

An Unusual Case of a Young Woman with a Postnasal Space Mass

Zheng

Lim

2018

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

supporting

confidence: 61%

An Unusual Case of a Young Woman with a Postnasal Space Mass

Zheng

Lim

2018

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

“… 6 Based on previous reports, nasopharyngeal tuberculosis is slightly more common among females. 11 Patients suffering from head and neck tuberculosis may have atypical presentation with a lack of constitutional symptoms such as weight loss, night sweats and respiratory symptoms. 12 According to previous studies, cervical tubercular lymphadenitis was responsible for the majority of head and neck tuberculosis, 13 – 15 but other sites included the salivary glands, larynx, eyes, ears, skin, thyroid, oral cavity, nasopharynx and retropharynx.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic dilemma in a patient with nasopharyngeal tuberculosis: A case report and literature review

Penjor

Pradhan²

2022

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

Tuberculosis remains a major cause of morbidity and mortality globally, with a global total of about 10 million people falling ill with it in 2020. Until the coronavirus (COVID-19) pandemic, tuberculosis was the leading cause of death from a single infectious agent. Nasopharyngeal tuberculosis is a rare type of extrapulmonary tuberculosis that may be either primary or secondary to pulmonary tuberculosis. Nasopharyngeal tuberculosis may be mistaken for nasopharyngeal carcinoma as both conditions may present with a nasopharyngeal mass and cervical lymph node enlargement. We present a case of nasopharyngeal tuberculosis secondary to pulmonary tuberculosis who presented without any nasal or respiratory symptoms. The patient presented with a cervical lymph node enlargement and a nasopharyngeal mass was detected on nasal endoscopy. Fine needle cytology from the cervical node and the initial biopsy report from the nasopharyngeal mass were not confirmatory, causing a diagnostic dilemma. A repeat biopsy from the nasopharyngeal mass with the demonstration of caseating granuloma and acid-fast bacilli in the specimen pointed to the diagnosis of nasopharyngeal tuberculosis. The patient responded well to the standard 6-month anti-tubercular regimen. Nasopharyngeal tuberculosis may mimic nasopharyngeal carcinoma and a repeat biopsy may be necessary to confirm the diagnosis.

show abstract

“…It is challenging for ENT specialists to diagnose primary nasopharyngeal tuberculosis at an early stage, as it has varying nonspecific clinical presentations. 6,8 The common symptoms of primary nasopharyngeal tuberculosis are cervical lymphadenopathy, otologic discomforts (ear fullness, hearing impairment, and otitis media), and nasal symptoms (nasal obstruction, epistaxis, and postnasal drip). 4,8,9 The nasopharynx may be infected with M tuberculosis via 2 routes.…”

Section: Discussionmentioning

confidence: 99%

“…6,8 The common symptoms of primary nasopharyngeal tuberculosis are cervical lymphadenopathy, otologic discomforts (ear fullness, hearing impairment, and otitis media), and nasal symptoms (nasal obstruction, epistaxis, and postnasal drip). 4,8,9 The nasopharynx may be infected with M tuberculosis via 2 routes. 4 In primary nasopharyngeal tuberculosis, the infection occurs directly through nasal ventilation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Primary Nasopharyngeal Tuberculosis: A Case Report Focused on Nasopharyngoscopic Features and CT Findings

Min

Kim

2020

Ear Nose Throat J

Self Cite

View full text Add to dashboard Cite

Primary nasopharyngeal tuberculosis, defined as an isolated tuberculosis infection of the nasopharynx without systemic or pulmonary disease, is rare, even in areas endemic for tuberculosis. It is challenging for ENT specialists to diagnose primary nasopharyngeal tuberculosis at an early stage. In this report, we describe a new case of primary nasopharyngeal tuberculosis, focusing on its nasopharyngoscopic features and radiological findings that can help the understanding and aid in accurate diagnosis of this unusual disease entity. Our experience suggests that although primary nasopharyngeal tuberculosis is a relatively rare disease, it must be included in the differential diagnosis of various nasopharyngeal lesions, particularly in patients with unusual nasopharyngoscopic and computed tomography findings.

show abstract

Nasal or Nasopharyngeal Tuberculosis Should be Considered in the Initial Diagnosis of Sino-Nasal Inflammatory Diseases

Cited by 7 publications

References 7 publications

An Unusual Case of a Young Woman with a Postnasal Space Mass

An Unusual Case of a Young Woman with a Postnasal Space Mass

Diagnostic dilemma in a patient with nasopharyngeal tuberculosis: A case report and literature review

Primary Nasopharyngeal Tuberculosis: A Case Report Focused on Nasopharyngoscopic Features and CT Findings

Contact Info

Product

Resources

About