OROPHARYNGEAL AND MILIARY PULMONARY TUBERCULOSIS WITHOUT RESPIRATORY SYMPTOM

被引:0
作者
Chang, Jung Hyun [1 ]
Kim, Jung Hyun [2 ]
Kang, Ju Wan [3 ]
Kim, Jeong Hong [4 ]
机构
[1] Ilsan Hosp, Natl Hlth Insurance Corp, Dept Otorhinolaryngol, Go Yang, South Korea
[2] Beomse Otorhinolaryngol Clin, Yongin, South Korea
[3] Yonsei Univ Hlth Syst, Yongin Severance Hosp, Dept Otorhinolaryngol, Yongin, South Korea
[4] Jeju Natl Univ, Sch Med, Dept Otorhinolaryngol, 102 Jejudaehakno, Cheju 690756, South Korea
关键词
oropharynx; tuberculosis; pulmonary tuberculosis; ORAL-CAVITY; DIAGNOSIS;
D O I
暂无
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Tuberculosis is an important cause of morbidity and mortality worldwide. We report the case of a 52-year-old man who presented with a two month history of sore throat without other general or respiratory symptoms. Oral examination revealed ulcerative and granulomatous lesions on the soft palate and tonsils. Histological examination of the lesions showed granulomatous tissue with caseaous necrosis consistent with tuberculosis. A chest x-ray and computed tomography of the chest showed miliary tuberculosis of both lungs. The oral lesions improved with antituberculous medication by one month. Tuberculosis should be considered in the differential diagnosis of oral lesions which do not respond to appropriate antibiotic therapy. Pulmonary tuberculosis should also be considered in patients with oral tuberculosis even if they do not have respiratory symptoms.
引用
收藏
页码:869 / 873
页数:5
相关论文
共 10 条
[1]   Tuberculosis [J].
Frieden, TR ;
Sterling, TR ;
Munsiff, SS ;
Watt, CJ ;
Dye, C .
LANCET, 2003, 362 (9387) :887-899
[2]  
Golden MP, 2005, AM FAM PHYSICIAN, V72, P1761
[3]   Tuberculosis of the oral cavity: a systematic review [J].
Kakisi, Ourania K. ;
Kechagia, Argiro S. ;
Kakisis, Ioannis K. ;
Rafailidis, Petros I. ;
Falagas, Matthew E. .
EUROPEAN JOURNAL OF ORAL SCIENCES, 2010, 118 (02) :103-109
[4]  
Pekiner FN, 2006, INT J TUBERC LUNG D, V10, P1418
[5]  
Prasad P, 2012, CASE REP MED, V2012, DOI [10.1155/2012/120382, DOI 10.1155/2012/120382]
[6]   The Diagnosis of Tuberculosis [J].
Shingadia, Delane .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2012, 31 (03) :302-305
[7]   Oral tuberculosis in an asymptomatic pulmonary tuberculosis [J].
Singhaniya, Shikha B. ;
Barpande, Suresh R. ;
Bhavthankar, Jyoti D. .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY, 2011, 111 (03) :E8-E10
[8]   Primary Tuberculosis of the Oral Cavity in an Elderly Nonimmunosuppressed Patient Case Report and Review of the Literature [J].
Smolka, Wenko ;
Burger, Hana ;
Iizuka, Tateyuki ;
Smolka, Koord .
ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2008, 134 (10) :1107-1109
[9]   Time delays in diagnosis of pulmonary tuberculosis: a systematic review of literature [J].
Sreeramareddy, Chandrashekhar T. ;
Panduru, Kishore V. ;
Menten, Joris ;
Van den Ende, J. .
BMC INFECTIOUS DISEASES, 2009, 9
[10]  
Sutbeyaz Y, 2000, Auris Nasus Larynx, V27, P371, DOI 10.1016/S0385-8146(00)00055-9