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[Head and neck tuberculosis - still current problem in ENT practice].
- Source :
-
Otolaryngologia polska = The Polish otolaryngology [Otolaryngol Pol] 2011 Jul-Aug; Vol. 65 (4), pp. 272-5. - Publication Year :
- 2011
-
Abstract
- Introduction: It is estimated that between XVI and XIX century one fourth of European population died of tuberculosis. Nowadays tuberculosis is still one of the most important infectious diseases. In 2009 estimately 9 million new cases were registered worldwide, mortality due tuberculosis reached 1.5 million. In Poland extrapulmonary tuberculosis is rare (7% of overall morbidity) and most commonly affects pleura, lymph nodes, bones, joints and genitourinary system. Head and neck tuberculosis is rare and causes many diagnostics problems.<br />Methods: Retrospective analysis of case histories of patients admitted to ENT Department of Silesian Medical University in Katowice.<br />Results: Between 1993 and 2010 four cases of head and neck tuberculosis were diagnosed in our Clinic. Two of patients were admitted to the hospital with symptoms of laryngeal tumor such as difficulty in swallowing. During direct laryngoscopy tissue specimens were taken. Examination of the third patient showed tumor located below left angle of mandibule. During superficial parotidectomy tumor was removed. In the fourth registered case tuberculosis manifested as tumor of nasopharynx. In every case which is mentioned above pathology reports revealed epithelioid cell granulomas with caseous necrosis typical for tuberculosis. Patients underwent tuberculostatic treatment.<br />Conclusion: Rare occurrence and lack of characteristic symptoms of head and neck tuberculosis often lead to misdiagnosis. Histopathological examination is the most important diagnostic procedure. Microbiological examination is difficult in extrapulmonary tuberculosis, because of low concentration of pathogens in specimens. Tuberculostatic therapy is the leading method of treatment in every case of tuberculosis.<br /> (Copyright © 2011 Polish Otolaryngology Society. Published by Elsevier Urban & Partner (Poland). All rights reserved.)
- Subjects :
- Aged
Antitubercular Agents administration & dosage
Cough etiology
Diagnosis, Differential
Female
Head and Neck Neoplasms diagnosis
Hoarseness etiology
Humans
Laryngoscopy methods
Male
Middle Aged
Otorhinolaryngologic Diseases diagnosis
Otorhinolaryngologic Diseases pathology
Poland epidemiology
Rare Diseases diagnosis
Rare Diseases pathology
Retrospective Studies
Tuberculosis, Laryngeal drug therapy
Otorhinolaryngologic Diseases microbiology
Tuberculosis, Laryngeal diagnosis
Tuberculosis, Laryngeal pathology
Subjects
Details
- Language :
- Polish
- ISSN :
- 0030-6657
- Volume :
- 65
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Otolaryngologia polska = The Polish otolaryngology
- Publication Type :
- Academic Journal
- Accession number :
- 22000144
- Full Text :
- https://doi.org/10.1016/S0030-6657(11)70689-8