原发性鼻咽结核。
Primary nasopharyngeal tuberculosis.
机构信息
Scottish Centre for Respiratory Research, University of Dundee, Dundee, UK
Doctoral studies, Riga Stradins University, Riga, Latvia.
出版信息
BMJ Case Rep. 2022 Dec 7;15(12):e251927. doi: 10.1136/bcr-2022-251927.
No part of the human body is immune to tuberculosis, the most common site being the lungs. We report a rare case of primary nasopharyngeal tuberculosis without cervical lymphadenopathy nor pulmonary involvement. The only presenting symptom was an intermittent discomfort in the neck and throat. Several biopsies were performed to exclude nasopharyngeal carcinoma and to reach the final diagnosis of tuberculosis. The patient made full recovery following 6 months of treatment with antibiotics. A multidisciplinary approach by ear, nose and throat, radiology, pathology, and infectious disease colleagues was crucial in reaching the diagnosis and managing the patient.
人体没有任何部位对结核病有免疫力，最常见的部位是肺部。我们报告了一例罕见的原发性鼻咽结核病例，无颈部淋巴结肿大和肺部受累。唯一的表现症状是颈部和喉咙间歇性不适。为排除鼻咽癌并做出结核病的最终诊断，进行了多次活检。该患者在接受抗生素治疗 6 个月后完全康复。耳鼻喉科、放射科、病理科和传染病科的多学科方法对做出诊断和治疗患者至关重要。
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