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两例原发性鼻咽结核

Two Cases of Primary Nasopharyngeal Tuberculosis.

作者信息

Lee Ha Na, Jung Seon Min, Cho Seok Hyun, Jeong Jin Hyeok

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, Seoul, Republic of Korea.

出版信息

J Rhinol. 2022 Nov;29(3):167-171. doi: 10.18787/jr.2022.00409. Epub 2022 Oct 4.

Abstract

Nasopharyngeal tuberculosis can arise from both a primary infection and a secondary spread via the lymphatic or hematogenous system from a primary pulmonary lesion. Primary nasopharyngeal tuberculosis is rare and difficult to detect earlier because of the nonspecific presentations of the disease. As upper airway tuberculosis can be contagious, early initial diagnosis and suspicion of the physicians are needed in clinical practice. Recently, we successfully diagnosed and treated the disease by antitubercular medications of two cases of primary nasopharyngeal tuberculosis. Herein, we report our experience with a literature review.

摘要

鼻咽结核可源于原发性感染,也可由原发性肺部病变经淋巴系统或血行系统继发传播所致。原发性鼻咽结核较为罕见,且由于该病临床表现不具特异性,早期难以发现。鉴于上呼吸道结核具有传染性,临床实践中需要医生尽早进行初步诊断并提高警惕。最近,我们通过抗结核药物成功诊断并治疗了两例原发性鼻咽结核病例。在此,我们报告我们的经验并进行文献复习。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1540/11524369/e15e32723f4a/jr-2022-00409f1.jpg

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Two Cases of Primary Nasopharyngeal Tuberculosis.两例原发性鼻咽结核
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本文引用的文献

3
Nasopharyngeal tuberculosis: CT and MRI findings in thirty-six patients.鼻咽结核:36 例患者的 CT 和 MRI 表现。
Eur J Radiol. 2013 Sep;82(9):e448-54. doi: 10.1016/j.ejrad.2013.04.015. Epub 2013 May 18.
4
Nasopharyngeal tuberculosis: manifestations between 1991 and 2000.鼻咽结核:1991年至2000年期间的表现
Otolaryngol Head Neck Surg. 2004 Nov;131(5):762-4. doi: 10.1016/j.otohns.2004.02.052.
5
Nasopharyngeal granulomatous inflammation and tuberculosis complicating undifferentiated carcinoma.
Otolaryngol Head Neck Surg. 2004 Jan;130(1):125-30. doi: 10.1016/j.otohns.2003.08.014.

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