2011
DOI: 10.1017/s0022215110002835
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Primary nasopharyngeal tuberculosis mimicking exacerbation of chronic rhinosinusitis

Abstract: To our best knowledge, this is the first published report of primary nasopharyngeal tuberculosis in a patient previously diagnosed with chronic rhinosinusitis. The difficulties in obtaining a proper diagnosis in such a case are discussed.

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Cited by 10 publications
(6 citation statements)
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“…As a secondary route, the infection is transferred from another primary site through the airways or blood vessels. 6 Four of the total 12 patients in our study were diagnosed also with pulmonary TB, suggesting that secondary nasal or nasopharyngeal TB infections were disseminated from pulmonary TB infections.…”
mentioning
confidence: 69%
“…As a secondary route, the infection is transferred from another primary site through the airways or blood vessels. 6 Four of the total 12 patients in our study were diagnosed also with pulmonary TB, suggesting that secondary nasal or nasopharyngeal TB infections were disseminated from pulmonary TB infections.…”
mentioning
confidence: 69%
“…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%
“…Ziehl-Neelsen staining may directly show acid-fast bacilli. Microbiological culture and drug sensitivities of the infective strain are not usually done in practice, whereas multiple repeated biopsies are often used to confirm the diagnosis and start the treatment [12]. ZN staining and LJ medium growth are often used for diagnosis, whereas LJ medium growth is considered the gold standard, but sometimes it gives false negative results due to the low number of bacilli.…”
Section: Discussionmentioning
confidence: 99%