鼻咽结核：1991年至2000年期间的表现

Nasopharyngeal tuberculosis: manifestations between 1991 and 2000.

作者信息

Srirompotong Somchai, Yimtae Kwanchanok, Jintakanon Darunee

机构信息

Department of Otolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.

出版信息

Otolaryngol Head Neck Surg. 2004 Nov;131(5):762-4. doi: 10.1016/j.otohns.2004.02.052.

DOI:10.1016/j.otohns.2004.02.052

PMID:15523462

Abstract

OBJECTIVES/HYPOTHESIS: To present the clinical manifestation of nasopharyngeal tuberculosis.

STUDY DESIGN

Clinical analysis of 23 patients with pathologically confirmed nasopharyngeal tuberculosis was carried out retrospectively.

SETTING

Srinagarind Hospital, Khon Kaen University. Thailand.

RESULTS

The most common presenting symptom was cervical lymphadenopathy (91.3%). The common locations of nodes were the superior and middle cervical. The abnormalities of the nasopharynx were found in 16 patients. The pathological findings were caseous granuloma with positive acid-fast bacilli (AFB) in 15 cases, caseous granuloma with negative AFB in 3 cases, and chronic granulomatous inflammation with negative AFB in 5 cases. Pulmonary tuberculosis was found in 8 of 18 patients. Sixteen patients who received complete treatment responded well.

CONCLUSION

Nasopharyngeal tuberculosis commonly presents with cervical lymphadenopathy. The differential diagnosis of tuberculosis from nasopharyngeal carcinoma is difficult. In the patients who have cervical lymphadenopathy and no other identified causes, biopsy of nasopharynx would give an additive information for diagnosis.

摘要

目的/假设：阐述鼻咽结核的临床表现。