Aktan Bülent, Selimoglu Erol, Uçüncü Harun, Sütbeyaz Yavuz
Department of Otolaryngology, Faculty of Medicine, Atatürk University, Erzurum, Turkey.
J Laryngol Otol. 2002 Apr;116(4):301-3. doi: 10.1258/0022215021910609.
Isolated nasopharyngeal tuberculosis is a rare condition, even in endemic tuberculosis areas. The most common presentation of nasopharyngeal tuberculosis is with a cervical lymphadenopathy followed by nasal discharge or obstruction. Here we present a 58-year-old patient with nasopharyngeal tuberculosis whose only complaint was snoring. Her oropharyngeal and anterior rhinoscopic examination was normal. On endoscopic examination, mucosal oedema and hyperaemia of the nasopharynx was observed. There was no cervical lymphadenopathy. The tuberculin skin test was positive and histopathological examination of the biopsy taken from posterior nasopharyngeal wall supported the diagnosis of tuberculosis. After anti-tuberculosis therapy, the snoring stopped and the nasopharyngeal examination was normal.
孤立性鼻咽结核是一种罕见疾病，即便在结核病流行地区亦是如此。鼻咽结核最常见的表现是颈部淋巴结肿大，其次是鼻分泌物增多或鼻塞。在此，我们报告一例58岁的鼻咽结核患者，其唯一的主诉是打鼾。她的口咽和前鼻镜检查均正常。在内镜检查中，观察到鼻咽部黏膜水肿和充血。没有颈部淋巴结肿大。结核菌素皮肤试验呈阳性，从鼻咽后壁获取的活检组织的组织病理学检查支持结核病的诊断。抗结核治疗后，打鼾停止，鼻咽部检查恢复正常。
