Rubin A M, Brondbo K, Alberti P W, Freeman J L, Tischler E M, Conrad K, Noyek A M
J Otolaryngol. 1982 Dec;11(6):385-90.
Mycobacterial infections, once relatively rare in North America have recently shown an upsurge with the influx of Asian and African immigrants. The infections are usually due to M. tuberculosis and present with pulmonary symptoms. However, an uncommon presentation is that of a mass in the head and neck region without any pulmonary manifestations. Although these infections are usually secondary to invasion by "atypical" mycobacteria, unusual presentations due to mycobacterium tuberculosis have been noted. Case reports depicting the very rare presentations of M. tuberculosis in the thyroglossal duct cyst, parotid, and submandibular lymph node are described. A very unusual case of atypical mycobacteria in the larynx is noted and cervical adenitis is also included. The initial subtle presentation emphasizes the importance of mycobacteria in the differential diagnosis of lesions in the head and neck region.
分枝杆菌感染在北美曾经相对少见，但随着亚洲和非洲移民的涌入，近年来呈上升趋势。这些感染通常由结核分枝杆菌引起，并伴有肺部症状。然而，一种不常见的表现是头颈部出现肿块，而无任何肺部表现。尽管这些感染通常继发于“非典型”分枝杆菌的侵袭，但也有因结核分枝杆菌导致的不寻常表现的报道。本文描述了关于结核分枝杆菌在甲状舌管囊肿、腮腺和下颌下淋巴结中极为罕见表现的病例报告。还记录了一例喉部非典型分枝杆菌的非常特殊的病例，并纳入了颈部腺炎。最初的细微表现强调了分枝杆菌在头颈部病变鉴别诊断中的重要性。
