Yang Yang, Fang Yuan, Yang GuoNing
Department of Otorhinolaryngology Head and Neck Surgery, Baoshan People's Hospital, Baoshan 678000, Yunnan Province, China.
Department of Organ Transplantation, The First Affiliated Hospital of Kunming Medical University, 295 Xichang Road, Kunming 650032, Yunnan Province, China.
Open Life Sci. 2022 Aug 17;17(1):973-977. doi: 10.1515/biol-2022-0077. eCollection 2022.
Nasopharyngeal tuberculosis is a rare disease. Even in areas where tuberculosis is endemic, its incidence is also extremely low. Here, we will report a rare case of nasopharyngeal tuberculosis. A 29-year-old male patient presented with a 2-month history of sore throat, nasal congestion, dysphagia, and low-grade fever. Thickened mucosa in the posterior wall of the nasopharynx was shown from nasopharyngoscopy, covered with a thick, yellowish, purulent secretion that was not easily removed. Computed tomography of the nasopharynx showed thickening of the mucosa in the right and left bilateral walls and the posterior wall with indistinct margins. Histopathological examination diagnosed nasopharyngeal tuberculosis granuloma. Nasopharyngeal tuberculosis is rare and has atypical symptoms. When a new organism appears in the nasopharynx, it should be differentiated from tuberculosis, autoimmune diseases, and tumors, and a tissue biopsy of the new organism should be performed to make a final diagnosis based on histopathology.
鼻咽结核是一种罕见疾病。即使在结核病流行地区，其发病率也极低。在此，我们将报告一例罕见的鼻咽结核病例。一名29岁男性患者出现咽痛、鼻塞、吞咽困难和低热2个月病史。鼻咽镜检查显示鼻咽后壁黏膜增厚，覆盖有不易清除的厚黄色脓性分泌物。鼻咽部计算机断层扫描显示双侧侧壁和后壁黏膜增厚，边界不清。组织病理学检查诊断为鼻咽结核肉芽肿。鼻咽结核罕见且症状不典型。当鼻咽部出现新生物时，应与结核、自身免疫性疾病和肿瘤相鉴别，并对新生物进行组织活检，根据组织病理学做出最终诊断。
