Nasopharyngeal tuberculosis presenting with auditory symptoms: Figure 1

Pankhania, Miran; Elloy, M; Conboy, Peter

doi:10.1136/bcr-01-2012-5475

Cited by 5 publications

(13 citation statements)

References 10 publications

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“…The nasopharyngeal symptoms which could be presented alone or associated with nodal enlargement included (1) ear problems: aural fullness, hearing loss, otorrhea, otalgia, tinnitus, and middle ear effusion [ 34 – 36 ], (2) nose problems: running nose, postnasal drip, nasal obstruction, and epistaxis [ 25 , 37 , 38 ], (3) others: snoring, headache, and diplopia [ 10 , 24 , 39 – 41 ].…”

Section: Clinical Manifestationsmentioning

confidence: 99%

Nasopharyngeal Tuberculosis: Epidemiology, Mechanism of Infection, Clinical Manifestations, and Management

Srivanitchapoom

Sittitrai

2016

International Journal of Otolaryngology

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Nasopharyngeal tuberculosis (NPTB) is a noteworthy disease especially in its worldwide spread of the Mycobacterium infection. Although NPTB has been identified in less than one percent of TB cases, recent multiple case reports indicate an either increased awareness or incidence of this disease. The most helpful diagnostic tool is an uncomplicated nasopharyngeal biopsy. However, NPTB is usually ignored because it has varied clinical manifestations and similar presentations with other more common head and neck diseases. Furthermore, the most common presenting symptom is cervical lymphadenopathy mimicking nasopharyngeal carcinoma, a more common and serious disease. Treatment outcomes of NPTB are good in both HIV-positive or HIV-negative patients. In addition, pulmonary tuberculosis association was reported in wide range between 8.3% and 82% which should be considered in a treatment program. In conclusion, early diagnosis and management in NPTB can be achieved by (1) increased awareness of this disease, (2) improvement in knowledge regarding clinical manifestations, and (3) improvement of diagnostic techniques.

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Section: Clinical Manifestationsmentioning

confidence: 99%

Nasopharyngeal Tuberculosis: Epidemiology, Mechanism of Infection, Clinical Manifestations, and Management

Srivanitchapoom

Sittitrai

2016

International Journal of Otolaryngology

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“… 11 Patients suffering from head and neck tuberculosis may have atypical presentation with a lack of constitutional symptoms such as weight loss, night sweats and respiratory symptoms. 12 According to previous studies, cervical tubercular lymphadenitis was responsible for the majority of head and neck tuberculosis, 13 – 15 but other sites included the salivary glands, larynx, eyes, ears, skin, thyroid, oral cavity, nasopharynx and retropharynx. 13 The most common symptom in nasopharyngeal tuberculosis is cervical lymph node enlargement, 7 but it can present without cervical nodes.…”

Section: Discussionmentioning

confidence: 99%

“… 11 On our literature review, patients experienced nasal symptoms such as nasal obstruction, 2 , 6 , 10 rhinorrhea, 2 , 10 post-nasal drip, 4 sore throat, 16 cough, 4 and snoring. 5 , 6 , 10 Otologic symptoms were ear fullness, 3 hearing impairment, 10 , 12 ear discharge, 10 and tinnitus. 12 …”

Section: Discussionmentioning

confidence: 99%

“… 5 , 6 , 10 Otologic symptoms were ear fullness, 3 hearing impairment, 10 , 12 ear discharge, 10 and tinnitus. 12 …”

Section: Discussionmentioning

confidence: 99%

“… 16 There is no specific examination or diagnostic clues for nasopharyngeal tuberculosis except histological findings. 11 The endoscopic appearances of nasopharyngeal tuberculosis are reported as being smooth swelling, 6 , 12 irregular mucosal thickening, 4 , 16 polypoidal mass, 9 , 10 granuloma-like masses, 8 and mucosal oedema and hyperaemia. 5 …”

Section: Discussionmentioning

confidence: 99%

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Diagnostic dilemma in a patient with nasopharyngeal tuberculosis: A case report and literature review

Penjor

Pradhan²

2022

SAGE Open Medical Case Reports

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Tuberculosis remains a major cause of morbidity and mortality globally, with a global total of about 10 million people falling ill with it in 2020. Until the coronavirus (COVID-19) pandemic, tuberculosis was the leading cause of death from a single infectious agent. Nasopharyngeal tuberculosis is a rare type of extrapulmonary tuberculosis that may be either primary or secondary to pulmonary tuberculosis. Nasopharyngeal tuberculosis may be mistaken for nasopharyngeal carcinoma as both conditions may present with a nasopharyngeal mass and cervical lymph node enlargement. We present a case of nasopharyngeal tuberculosis secondary to pulmonary tuberculosis who presented without any nasal or respiratory symptoms. The patient presented with a cervical lymph node enlargement and a nasopharyngeal mass was detected on nasal endoscopy. Fine needle cytology from the cervical node and the initial biopsy report from the nasopharyngeal mass were not confirmatory, causing a diagnostic dilemma. A repeat biopsy from the nasopharyngeal mass with the demonstration of caseating granuloma and acid-fast bacilli in the specimen pointed to the diagnosis of nasopharyngeal tuberculosis. The patient responded well to the standard 6-month anti-tubercular regimen. Nasopharyngeal tuberculosis may mimic nasopharyngeal carcinoma and a repeat biopsy may be necessary to confirm the diagnosis.

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