Posterior oro-pharyngeal wall tuberculosis

Area of Science:

• Otolaryngology
• Infectious Diseases
• Pulmonology

Background:

• Pharyngeal tuberculosis is uncommon, with the pharynx rarely manifesting clinically significant tuberculosis.
• Secondary tuberculosis can affect various sites, but oropharyngeal involvement is exceptionally rare.

Purpose of the Study:

• To report a rare case of secondary oropharyngeal tuberculosis.
• To describe the clinical presentation, diagnostic findings, and treatment outcome of this unusual condition.

Main Methods:

• Case report of a 40-year-old male patient.
• Clinical examination, laboratory investigations (including ESR), and chest X-ray.
• Initiation of antitubercular therapy.

Main Results:

• The patient presented with a tender, bleeding ulceroproliferative lesion of the oropharynx extending to the nasopharynx and laryngopharynx.
• No cervical lymphadenopathy was observed; routine investigations were normal except for elevated ESR.
• Chest X-ray showed bilateral apical lesions consistent with tuberculosis.

Conclusions:

• Secondary oropharyngeal tuberculosis is a rare but plausible diagnosis in patients with suggestive lesions and pulmonary tuberculosis.
• Prompt antitubercular therapy is effective in managing this condition, leading to clinical improvement.