Primary tuberculous parotitis

Gayathri, B N; Raju, Kalyani; Manjula, K

doi:10.4103/0970-9371.83479

Cited by 6 publications

(6 citation statements)

References 5 publications

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“…[17810] Further, sensitivity is enhanced by utilization of fine-needle aspirate in the detection of Mycobacterium using Ziehl–Neelsen staining, culture, and evaluation by PCR. [91113] Handa et al reported five cases of tubercular parotitis by FNAC, which is also supported by other authors[37] However, it has only value when positive.…”

Section: Discussionmentioning

confidence: 61%

“…The definitive diagnosis is made by FNAC or histological examination after parotidectomy. [310111213] Sometimes, tuberculous parotitis becomes a diagnostic challenge in the absence of clinical disease in lung and it requires a high degree of clinical suspicion and adds of other supportive investigations. A chest radiograph may be helpful in cases of associated pulmonary tuberculosis.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasonography is sensitive for lesion situated in the superficial lobe of parotid gland, while CT/magnetic resonance imaging is better for deep-lobe involvement. [5811] FNAC is now considered as a useful and reliable technique for the diagnosis of tuberculous parotitis. [17810] Further, sensitivity is enhanced by utilization of fine-needle aspirate in the detection of Mycobacterium using Ziehl–Neelsen staining, culture, and evaluation by PCR.…”

Section: Discussionmentioning

confidence: 99%

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Tuberculous parotitis: A series of eight cases and review of literature

Maurya

Kumar

Singh

et al. 2019

Natl J Maxillofac Surg

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Although tuberculosis is a common health problem in developing countries such as India, tuberculous parotitis (tubercular involvement of parotid gland) is rarely encountered. Because of very low incidence and nonspecific symptoms, it is often misdiagnosed as parotid neoplasm. Ultrasonographic and computed tomographic findings are also noncontributory for this entity. Hence, to increase awareness about this rare entity, here, we report a series of eight cases of tuberculous parotitis which were diagnosed on fine-needle aspiration cytology (FNAC) and successfully treated with antitubercular drugs. Majority of our cases (five cases) presented as asymptomatic unilateral swelling or acute tender painful swelling (two cases) in the parotid region. FNAC smears showed caseous necrosis, epithelioid granulomas along with variable amount of mixed inflammatory exudates, and few benign ductal or acinar cell clusters. One case had unilateral recurrent swelling in the preauricular region with fistula. Superficial parotidectomy was done and histological examination revealed the diagnosis of tubercular parotitis. Following diagnosis, all patients were kept on antitubercular treatment and responded well to treatment with no evidence of recurrence on 9-month regular follow-up.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Tuberculous parotitis: A series of eight cases and review of literature

Maurya

Kumar

Singh

et al. 2019

Natl J Maxillofac Surg

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“…Tubercular parotitis is an uncommon cause of fever and parotid swelling. This entity has been rare even in tuberculosis endemic regions like India [1]. Fewer than 100 cases have been reported in the literature till date [2].…”

Section: Discussionmentioning

confidence: 99%

“…Chronic parotitis can be because of either viral or bacterial etiology but more commonly associated with autoimmune diseases. Tubercular parotitis is rare [1]. Only few cases have been reported worldwide [2].…”

Section: Introductionmentioning

confidence: 99%

Tubercular parotitis; a forgotten entity

et al. 2016

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Tubercular parotitis is extremely rare, even in countries such as India, where the burden of tuberculosis is very high. Clinically, it presents as a slow-growing localized mass, indistinguishable from a neoplasm. Imaging studies are nonspecific. USG guided fine needle aspiration cytology (FNAC) can provide a pre operative screening procedure. We present a case of parotid tuberculosis in a 56-year-old diabetic male with short duration of fever and parotitis. We diagnosed the case on the basis of high erythrocyte sedimentation rate, lymphocyte predominant parotitis, epithelioid granuloma in right pre auricular lymphnode and parotid aspirate polymerase chain reaction (PCR) yielding mycobacterium tuberculosis. The patient responded well to 6 months of anti tubercular therapy with optimized diabetes and hypertension management and doing well at the end of 1 year of completion of treatment.

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Infectious Sialadenitis

Lindburg

Ogden

2021

Curr Otorhinolaryngol Rep

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Primary tuberculous parotitis

Cited by 6 publications

References 5 publications

Tuberculous parotitis: A series of eight cases and review of literature

Tuberculous parotitis: A series of eight cases and review of literature

Tubercular parotitis; a forgotten entity

Infectious Sialadenitis

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