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[以持续性耳闷为表现的原发性鼻咽结核:1例报告及文献复习]

[Primary nasopharyngeal tuberculosis presenting as durative aural fullness: one case report and literature review].

作者信息

Wu Xia, Sun Yu, Kong Weijia, Duan Maoli, Wang Yanjun

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Jun;28(11):824-6.

Abstract

OBJECTIVE

To study the clinical features, diagnosis and treatments of primary nasopharyngeal tuberculosis.

METHOD

A case report was presented, and meanwhile etiopathogenesis and differential diagnosis were also reviewed.

RESULT

A biopsy was taken and the histopathological examination showed tuberculosis granuloma with caseous necrosis. After anti-tuberculosis therapy, the symptoms disappeared.

CONCLUSION

Not only otologic disorders but also nasopharyngeal diseases need to be considered when aural fullness exists. More importantly, primary nasopharyngeal tuberculosis should be taken as one of the differential diagnosis.

摘要

目的

研究原发性鼻咽结核的临床特征、诊断及治疗方法。

方法

报告1例病例,并复习其病因及鉴别诊断。

结果

经活检及组织病理学检查显示为结核性肉芽肿伴干酪样坏死。抗结核治疗后症状消失。

结论

当出现耳闷症状时,不仅要考虑耳部疾病,还应考虑鼻咽部疾病。更重要的是,原发性鼻咽结核应作为鉴别诊断之一。

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