Background: Tuberculosis is a chronic specific infectious
disease caused by mycobacteria: Koch bacillus (BK). Despite a re-increase in
the incidence of tuberculosis, extra-nodal location on the head and neck
remains rare. Clinical symptomatology is non-specific and even data from
paraclinical explorations often pose the problem of differential diagnosis with
tumor pathology.
Methods: We report a series of 29 cases of extranodal
tuberculosis collected over a period of 32 years [1986-2018] in the ENT department
of the military hospital of Tunis. Epidemiological factors, clinical condition
at presentation, biological and radiologic explorations undergone according to
each location, methods of biopsy, treatment modalities, follow-up, and outcome
were reported.
Results: Rhinosinusopharyngeal involvement was predominant
(45%) followed by glandular involvement (14%). Laryngeal tuberculosis is
relatively rare, representing almost 1% of the extra-pulmonary locations of the
disease. The diagnosis was histopathological in most cases. Concomitant
pulmonary tuberculosis was detected in two cases and spinal lumbar in one case.
Treatment was medical in all cases.
Conclusion: The clinical presentation of extranodal
tuberculosis is various and non-specific. Neoplastic pathology is the main
differential diagnosis. However, diagnosis should be systematically raised in
endemic countries.
Author(s) Details:
Sameh Mezri,
ENT Department, Military Hospital of Tunis, Tunis, Tunisia.
Zitoun
Chaima,
ENT
Department, Military Hospital of Tunis, Tunis, Tunisia.
Thabet Wadii,
ENT Department, Military Hospital of Tunis, Tunis, Tunisia.
Chebbi Ghassen,
ENT Department, Military Hospital of Tunis, Tunis, Tunisia.
Khemaies Akkari,
ENT
Department, Military Hospital of Tunis, Tunis, Tunisia.
Please see the link here: https://stm.bookpi.org/RUDHR-V4/article/view/13814
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