Primary parotid tuberculosis: varied clinical presentations

Sethi, Ashwani; Sareen, Devendra; Sabherwal, Anup; Malhotra,

doi:10.1111/j.1601-0825.2005.01182.x

Cited by 40 publications

(42 citation statements)

References 11 publications

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“…Clinically, it generally presents as a localized, unilateral, slow-growing parotid mass with a certain degree of fixation indistinguishable from salivary gland tumors [8], in this cases the histopathological examination is characterized by tuberculoid granulomas, with caseous necrosis, Langhans giant cells and epithelioid cells.…”

Section: Introductionmentioning

confidence: 99%

Parotid abscess: mini-pictorial essay

et al. 2013

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Bacterial and viral infection of the intraparotideal and periparotideal lymph nodes, or of the glandular parenchyma, can lead to inflammatory and subsequently suppurative changes, which can result in abscess formation. Sonography allows a detailed morphological evaluation of the gland and has an important value, complementary to clinical examination, in the study of parotid inflammatory diseases. Specifically, sonography defines lesion's characteristics and, in a large number of cases, also its nature and, among the various imaging techniques, it is considered first-line imaging for the evaluation of parotid abscesses, which are characterized by hypo-anechoic lesions, with irregular margins. Color Doppler signals are peripheral to the abscess. If combined with color Doppler, sonography is important not only in diagnosis, but also in the evaluation of therapeutic efficacy and as a guide to the aspiration and drainage of abscesses. The rarity of some of these lesions led us to publish this mini-pictorial essay.Keywords Salivary glands Á Sonography Á Abscess Riassunto Le infezioni batteriche e virali dei linfonodi intraparotidei e periparotiedei, o del parenchima ghiandolare, provocano una risposta infiammatoria e successivamente possono portare a suppurazione e a formazione di ascessi. L'ecografia consente di effetuare una valutazione morfologica dettagliata della ghiandola ed ha un valore importante, complementare all'esame clinico, nello studio delle malattie infiammatorie parotidee, poichè permette di definire le caratteristiche della lesione e, in un gran numero di casi, anche la loro natura; di conseguenza, tra le diverse metodiche di imaging, l'ecografia viene considerata quella di primo livello per lo studio degli ascessi parotidei, che si presentano come lesioni ipo-anecogene, con margini irregolari. La valutazione mediante color-Doppler mostra la presenza di segnali periferici alla lesione ascessuale. Oltre all'importanza per la diagnosi, l'ecografia, in combinazione con il color-Doppler, è utile nel follow-up e per guidare gli esami bioptici ed il drenaggio delle lesioni. Poichè alcune di queste lesioni sono rare, abbiamo deciso di pubblicare questo mini-pictorial essay.

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Section: Introductionmentioning

confidence: 99%

Parotid abscess: mini-pictorial essay

et al. 2013

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“…Clinically differentiation between a parotid neoplasm and tuberculosis is difficult and hence the diagnosis is a usually a histological surprise [1,2]. We report a similar case in which a patient suspected to have an adenolymphoma turned out to be parotid tuberculosis on histopathological evaluation.…”

Section: Introductionmentioning

confidence: 78%

“…Fine needle aspiration cytology (FNAC) has high sensitivity and specificity in diagnosis of tuberculosis. Specificity can further be increased by doing ZN staining of the fine needle aspirate [1]. A similar case of tubercular parotitis was reported by Suleiman in 2001 where diagnosis was done by demonstrating TB bacilli in the parotid lesion [4].…”

Section: Discussionmentioning

confidence: 95%

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Parotid Gland Tuberculosis: A Case Report

2011

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“…Une radiographie pulmonaire doit systématiquement être demandée, afin de rechercher un éventuel foyer primitif. Sur le plan biologique, on retrouve généralement un syndrome inflammatoire et l'intradermoréaction à la tuberculine n' est pas toujours positive [2][3][4][5]. Ainsi, aucun élément clinique, radiologique et biologique ne permet d'affirmer le diagnostic de tuberculose parotidienne.…”

Section: Discussionunclassified