Darouassi Youssef, Chihani Mehdi, Elktaibi Abderrahim, Touati Mohamed Mliha, Nadour Karim, Benjelloun Amine, Bouaity Brahim, Ammar Haddou
ENT Department, Avicenne Military Hospital, Marrakech, Morocco.
J Med Case Rep. 2015 Jan 6;9(1):2. doi: 10.1186/1752-1947-9-2.
To the best of our knowledge, the association of nasopharyngeal and laryngeal tuberculosis has never been described before in the literature. We report here a first observation.
We report the case of a 38-year-old Arab man who presented with an isolated hoarseness. Radiological and endoscopic examinations showed a thickening of the left lateral wall of his nasopharynx and the left vocal cord. Pathology revealed the diagnosis of tuberculosis of both localizations. He received a 6-month antituberculous chemotherapy with a satisfying uneventful evolution.
Tuberculosis should be considered in the differential diagnosis of soft tissue masses of the head and neck, particularly when the imaging findings and clinical presentation are atypical. The diagnosis of tuberculosis is mainly based on histopathological and/or bacteriological examination.
据我们所知，鼻咽部和喉部结核的关联此前从未在文献中被描述过。我们在此报告首例观察病例。
我们报告一名38岁阿拉伯男性病例，该患者仅表现为声音嘶哑。影像学和内镜检查显示其鼻咽部左侧壁和左侧声带增厚。病理检查确诊为两个部位均患结核。他接受了为期6个月的抗结核化疗，病情进展顺利，令人满意。
在头颈部软组织肿块的鉴别诊断中应考虑结核，尤其是当影像学表现和临床表现不典型时。结核的诊断主要基于组织病理学和/或细菌学检查。
