Benchafai Ilias, Aourarh Sara, Aljalil Abdelfattah, Ammar Haddou, Darouassi Youssef
Ear, Nose, and Throat, Avicenna Military Hospital, Marrakech, MAR.
Cureus. 2024 Sep 24;16(9):e70101. doi: 10.7759/cureus.70101. eCollection 2024 Sep.
Tuberculosis is still considered a cause of death, especially in developing countries. Primary tonsillar tuberculosis in the absence of pulmonary tuberculosis in an immunocompetent patient is a rare entity. Its diagnosis is difficult because it simulates tonsillar cancer, and histopathological examination is often needed for confirmation. We report the case of a 30-year-old woman with no history of tuberculosis and a normal lung CT. The lack of response to the initial treatment suggested either tumor pathology or germ-specific tonsillitis. The diagnosis of tonsillar tuberculosis was established based on the histological aspects provided by the tonsil biopsy and the QuantiFERON-TB test.
结核病仍然被认为是一种致死原因，尤其是在发展中国家。在免疫功能正常的患者中，原发性扁桃体结核而无肺结核是一种罕见的情况。其诊断困难，因为它类似扁桃体癌，通常需要组织病理学检查来确诊。我们报告一例30岁女性病例，该患者无结核病史且肺部CT正常。初始治疗无反应提示肿瘤性病变或特异性细菌引起的扁桃体炎。根据扁桃体活检提供的组织学特征和结核感染T细胞检测确诊为扁桃体结核。
