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[Parotid tuberculosis. Apropos of 2 cases]
R Marrakchi1, M Fathallah, S Touati
1Service O.R.L., C.H.U. Habib Thameur, Tunis, Tunisie.
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|January 1, 1989
Summary
Parotid gland tuberculosis is a rare infection, often misdiagnosed as a parotid tumor. Early diagnosis and treatment with antibiotics lead to a good prognosis.
Area of Science:
- Otorhinolaryngology
- Infectious Diseases
- Pathology
Background:
- Tuberculosis (TB) is a rare cause of parotid gland infection, even in endemic areas.
- Parotid gland TB presents diagnostic challenges, often mimicking other parotid tumors like pleomorphic adenoma or sarcoma.
Observation:
- Two cases of parotid gland tuberculosis treated at the O.R.L. Service of C.H.U. H. Thameur, Tunisia are reported.
- A cutaneous fistula can aid in the clinical suspicion of parotid TB.
- Diagnosis is confirmed through histopathological examination and bacteriological studies.
Findings:
- Preoperative diagnosis of parotid gland tuberculosis is difficult due to its rarity and nonspecific presentation.
- The presence of a skin fistula is a key diagnostic clue.
- Combined surgical management and specific anti-tuberculosis antibiotics are the standard treatment.
Implications:
- This case report highlights the importance of considering tuberculosis in the differential diagnosis of parotid masses.
- Prompt diagnosis and appropriate treatment are crucial for favorable outcomes in parotid gland TB.
- Further research may elucidate optimal diagnostic and management strategies for this rare condition.