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Tonsillar tuberculosis mimicking tonsillar carcinoma: A case report.
Chaima Ben Ammar1, Makram Tbini1, Houssem Eddine Kamel1
1ENT Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia.
International Journal of Surgery Case Reports
|July 13, 2024
Summary
Tonsillar tuberculosis is an uncommon condition, even in tuberculosis-endemic regions. This case highlights the importance of considering tuberculosis in the differential diagnosis of tonsillitis, especially when symptoms are persistent.
Area of Science:
- Otorhinolaryngology
- Infectious Diseases
- Pathology
Background:
- Extrapulmonary tuberculosis (TB) is rare, with lymph node involvement being most common.
- Tonsillar tuberculosis is an exceptional manifestation, rarely seen even in endemic areas.
- Clinical and radiological findings for tonsillar TB are often non-specific.
Observation:
- A 45-year-old woman presented with chronic odynophagia and otalgia.
- Physical examination revealed an enlarged, firm left palatine tonsil with an irregular surface.
- Radiologic exploration yielded non-specific findings.
Findings:
- Histopathological examination of the tonsillar biopsy confirmed tuberculosis.
- The patient was subsequently treated with antitubercular drugs.
- Diagnosis relies on histopathology and microbiology to exclude differential diagnoses like cancer.
Implications:
- This case underscores the importance of suspecting tuberculosis in atypical tonsillitis presentations.
- Early diagnosis through biopsy and appropriate treatment are crucial for managing tonsillar tuberculosis.
- Increased awareness can improve diagnostic yield for this rare condition.
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