Maciaszczyk Katarzyna, Wagrowska-Danilewicz Malgorzata, Pajor Anna
I Katedra Otolaryngologii UM w Lodzi.
Otolaryngol Pol. 2007;61(6):1000-3. doi: 10.1016/S0030-6657(07)70570-X.
Tuberculosis, though rarely, is still present in the anatomical area of the laryngological examination.
A case of 45-year-old woman with secondary tonsillar tuberculosis and poorly symptomatic pulmonary involvement is reported.
She presented with symptoms of chronic tonsillitis and was subjected to tonsillectomy. Because of systemic infection ailments she underwent further internal diagnosis. The histopathological examination of palatine tonsils and result of chest X-ray established the diagnosis of tuberculosis. She was treated with antituberculous drugs for 6 months and achieved improvement.
The difficulties in diagnosis in this unusual presentation of tuberculosis mimicking chronic non-specific inflammation as well as poorly symptomatic massive pulmonary involvement are outlined.
结核病虽罕见,但仍存在于喉科检查的解剖区域。
报告一例45岁女性继发性扁桃体结核且肺部受累症状轻微的病例。
她表现出慢性扁桃体炎症状并接受了扁桃体切除术。由于全身性感染疾病,她接受了进一步的内科诊断。腭扁桃体的组织病理学检查及胸部X光检查结果确诊为结核病。她接受了6个月的抗结核药物治疗并有所好转。
概述了这种不寻常的结核病表现(模仿慢性非特异性炎症以及肺部受累症状轻微)在诊断方面的困难。