Nasopharyngeal tuberculosis: CT and MRI findings in thirty-six patients

Cai, Pei; Li, Yi Zhuo; Zeng, Rui; Xu, Jie; Xie, Chuan; Wu, Yinsu; Wu, Pei Hong

doi:10.1016/j.ejrad.2013.04.015

Cited by 17 publications

(43 citation statements)

References 13 publications

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“…NPTB is also rare and represents less than 1% of upper respiratory tract involvement [ 4 ]. The infection can be primary or secondary to pulmonary or systemic TB [ 2 ]. NPTB seems to be more frequent in women with two peaks of frequency, between 15 and 30, and between 50- and 60-years old [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…In the NPTB, the roof of the nasopharynx is usually the main home of the bacillus. The other walls are secondarily involved [ 2 ]. The mode of contamination does not differ from that of the larynx.…”

Section: Discussionmentioning

confidence: 99%

“…In LTB, the four predominant patterns described based on imaging appearances include superficial ulcerative lesions, nonspecific mucosal enhancement due to inflammatory change, polypoid masses, and ulcerative/fungating lesions [ 11 ]. In NPTB, two radiological patterns have been described: a) polypoid masses, and b) diffuse thickening of the mucosa [ 2 , 3 , 5 , 6 ]. The presence of necrosis and striped pattern in nasopharyngeal lesions, and a lack of invasion of regional structures and central necrosis with the characteristic peripheral rim enhancement of cervical lymphadenopathy are evocative of the diagnosis [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…The differential diagnosis of LTB includes neoplasm, syphilis, sarcoidosis, Wegener’s disease, leprosy, actinomycosis, lupus, recurrent polychondritis, rheumatoid arthritis, amyloidosis, fungal infection, chronic nonspecific laryngitis and lethal midline granuloma [ 6 , 11 ]. NPTB shares many clinical features with nasopharyngeal carcinoma, including cervical lymphadenopathy [ 2 ]. Thus, making a correct differential diagnosis between these two diseases is important.…”

Section: Discussionmentioning

confidence: 99%

“…The main site involved is commonly the lung. However, there is a marked increase in head and neck infections especially in developing countries [ 1 , 2 ]. Laryngeal TB (LTB), which used to be associated with advanced pulmonary infection in the last century, is now increasingly a primary site [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

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Association of laryngeal and nasopharyngeal tuberculosis: a case report

et al. 2015

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IntroductionTo the best of our knowledge, the association of nasopharyngeal and laryngeal tuberculosis has never been described before in the literature. We report here a first observation.Case presentationWe report the case of a 38-year-old Arab man who presented with an isolated hoarseness. Radiological and endoscopic examinations showed a thickening of the left lateral wall of his nasopharynx and the left vocal cord. Pathology revealed the diagnosis of tuberculosis of both localizations. He received a 6-month antituberculous chemotherapy with a satisfying uneventful evolution.ConclusionsTuberculosis should be considered in the differential diagnosis of soft tissue masses of the head and neck, particularly when the imaging findings and clinical presentation are atypical. The diagnosis of tuberculosis is mainly based on histopathological and/or bacteriological examination.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%