Primary oro-pharyngeal tuberculosis mimicking as malignancy

Baishya, Nizara; Das, Ashok Kumar; Sharma, Jagannath Dev; Singh, Abhishek; Krishnatreya, Manigreeva; Kataki, Amal Chandra

doi:10.4103/2321-4848.154963

Cited by 3 publications

(3 citation statements)

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“…Primary tuberculosis in the head and neck region has been observed in immune competent individuals. 10,11 In the present case the patient was serologically negative for HIV and immune competent.…”

Section: Discussionmentioning

confidence: 51%

Primary cutaneous tuberculosis associated with reactive cervical lymphadenopathy: a case report

et al. 2016

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Section: Discussionmentioning

confidence: 51%

Primary cutaneous tuberculosis associated with reactive cervical lymphadenopathy: a case report

et al. 2016

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“…The examination of oropharynx and posterior pharyngeal wall may show an ulcero-profilerative growth which may bleed on touch. 3,4,6 . 7 It can also present as submucosal bulge clinically as well as radiologically.…”

Section: Discussionmentioning

confidence: 99%

“…The most common subsite in oral cavity is tongue while in oropharynx it is tonsils followed by soft palate. 4 Secondary TB of oropharynx can occur due to infected secretions from pulmonary TB. 5 Tuberculosis of posterior pharyngeal wall (either primary or secondary) is extremely rare.…”

Section: Discussionmentioning

confidence: 99%

Posterior Pharyngeal Wall Tuberculosis—A Forgotten Entity Mimicking Malignancy

et al. 2020

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Background: Tuberculosis (TB) of posterior pharyngeal wall (PPW), either primary or secondary, is extremely rare and can mimic malignancy in elderly patients. Case Report: A 36-year-old female patient presented with complains of nonhealing ulcer at the back of her throat for 4 months. On examination, there was an ulceroproliferative growth covered with slough over PPW. Positron emission tomography scan showed uptake in PPW. There was no uptake in any other part of body. A biopsy from PPW lesion showed epithelioid cell granulomas with Langhans type giant cells. Auramine-rhodamine staining showed few beaded bacilli consistent with TB. Conclusion: Tuberculosis of PPW is an extremely uncommon entity and can mimic malignancy. It should be kept as one of the differential diagnosis as it can be cured solely by giving anti-tubercular therapy.

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Primary Peritonsillar Tuberculosis in a Rheumatoid Arthritis Patient Treated With Methotrexate

Meherzi,

Khbou,

Omri

et al. 2024

Ear Nose Throat J

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A 48-year-old man diagnosed with rheumatoid arthritis was treated with methotrexate for 10 years. He presented left tonsil ulceration and ipsilateral cervical lymphadenopathy. A tonsillar biopsy revealed tuberculosis. The patient received antituberculous therapy for 8 months with a positive response. However, after resumption of methotrexate due to worsening rheumatoid arthritis, symptoms recurred. The patient initiated antituberculous therapy once more for 6 months, and methotrexate was stopped. At regular follow-up, the patient showed a positive clinical response with resolution of tonsillar ulceration and lymphadenopathy after 14 months of antituberculosis treatment.

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Primary oro-pharyngeal tuberculosis mimicking as malignancy

Cited by 3 publications

References 1 publication

Primary cutaneous tuberculosis associated with reactive cervical lymphadenopathy: a case report

Primary cutaneous tuberculosis associated with reactive cervical lymphadenopathy: a case report

Posterior Pharyngeal Wall Tuberculosis—A Forgotten Entity Mimicking Malignancy

Primary Peritonsillar Tuberculosis in a Rheumatoid Arthritis Patient Treated With Methotrexate

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