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鼻咽结核。

Nasopharyngeal Tuberculosis.

机构信息

Department of Internal Medicine, The Aga Khan University Hospital, Karachi, Pakistan.

Department of Emergency Medicine, The Aga Khan University Hospital, Karachi, Pakistan.

出版信息

J Coll Physicians Surg Pak. 2022 Apr;32(4):S39-S40. doi: 10.29271/jcpsp.2022.Supp1.S39.

Abstract

Tuberculosis is a well-known communicable infectious disease and can involve almost any organ of the body. Upper respiratory tract involvement is seen in only 1.9% and involvement of the nasopharynx is even rarer, accounting for only 0.1%. The occurrence of nasopharyngeal tuberculosis (NPTB) is very rare even in endemic areas. Herein, we report two cases of NPTB in which patients had the previous history of chronic ear infection; and later were found to have NPTB. Initial symptoms of NPTB can be vague and easily be misdiagnosed. The literature is scarce on NPTB. To the best of our knowledge, no such cases have ever been reported from Pakistan. Although the incidence of NPTB is very low since we live in a country where tuberculosis incidence is really high, its possibility should be kept in mind as one of the differential diagnoses. Key Words: Nasopharyngeal, Tuberculosis, Otitis media, Fungal, Infection.

摘要

肺结核是一种众所周知的传染性疾病,几乎可以涉及身体的任何器官。上呼吸道受累仅占 1.9%,鼻咽受累更为罕见,仅占 0.1%。即使在流行地区,鼻咽结核(NPTB)的发生率也非常低。在此,我们报告两例 NPTB 患者,他们均有慢性耳部感染史;后来被发现患有 NPTB。NPTB 的初始症状可能较为模糊,容易被误诊。关于 NPTB 的文献很少。据我们所知,这种病例从未在巴基斯坦报道过。虽然由于我们生活在结核病发病率非常高的国家,NPTB 的发病率非常低,但作为鉴别诊断之一,应该牢记其可能性。关键词:鼻咽、结核、中耳炎、真菌、感染。

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