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Two rare cases of head and neck tuberculosis
Yesim Basal1, Barış Ermişler1, Aylin Eryilmaz1
1Department of Otorhinolaryngology, Adnan Menderes University, Aydın, Turkey.
BMJ Case Reports
|October 27, 2015
Summary
Tuberculosis (TB) is a serious infectious disease. Diagnosing extrapulmonary TB, especially in the head and neck, is challenging due to varied symptoms and lack of specific findings.
Area of Science:
- Infectious Diseases
- Oncology
- Otolaryngology
Background:
- Tuberculosis remains a significant global health concern, causing widespread mortality and morbidity.
- Extrapulmonary tuberculosis presents diagnostic challenges due to non-specific clinical and radiographic findings.
- The head and neck region is an infrequent but possible site for tuberculosis localization.
Observation:
- This article details a case of nasopharyngeal tuberculosis presenting with symptoms mimicking nasopharyngeal carcinoma.
- A rare case of cutaneous tuberculosis affecting the pinna is also presented.
- The diverse clinical presentations highlight the complexity of diagnosing head and neck TB.
Findings:
- Nasopharyngeal tuberculosis can clinically resemble nasopharyngeal carcinoma, necessitating thorough differential diagnosis.
- Cutaneous tuberculosis of the pinna is an uncommon manifestation requiring high clinical suspicion.
- Accurate diagnosis relies on recognizing varied presentations and employing microbiological confirmation.
Implications:
- Increased awareness of head and neck tuberculosis is crucial for clinicians.
- Integrating TB into the differential diagnosis for head and neck masses improves diagnostic accuracy.
- Microbiological examinations are essential for confirming diagnoses and guiding treatment for TB in the head and neck.
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