This study provides significant contributions to the understanding
of tuberculosis in the field of otorhinolaryngology. It highlights the
diagnostic challenges posed by the rare ENT manifestations of tuberculosis,
which are often mistaken for more common conditions such as neoplasms or
chronic infections. The manuscript effectively underscores the importance of
including tuberculosis in the differential diagnosis, especially in cases where
clinical presentation is typical. Worldwide, tuberculosis can infect any part
of the body, however, it most frequently affects the lungs. Even while
otorhinolaryngological symptoms of tuberculosis are uncommon and typically
develop as a result of lung illness, they nonetheless pose a serious diagnostic
difficulty. About 1% of all upper airway localizations are caused by
nasopharyngeal tuberculosis, which is uncommon and most frequently manifests as
adenoids. Tuberculous glossitis (oral tuberculosis) is even scarcer and may
present in various clinical forms, usually mimicking a malignant neoplasm, or,
less often, trauma or other infectious lesions. Oropharynx tuberculosis is
usually misdiagnosed as hypertrophic chronic tonsillitis. The study presents
four rare cases of ENT tuberculosis, primary adenoiditis and tonsillitis in a
13-year-old girl, a curious case of tuberculous glossitis in a 65-year-old
woman, clinically diagnosed as a lingual neoplasm and two cases of tuberculous
lymphadenopathy uncommonly located in the submandibular and supraclavicular
regions. A comprehensive review of literature follows the case presentations.
Tuberculous manifestation in the ear, nose and throat area remains a difficult
diagnosis to establish, particularly because of its rarity and non-specific
clinical appearance, and should be included in the differential diagnosis of
pharynx lesions. An early diagnosis is essential to avoid the occurrence of
complications. Tuberculous glossitis remains a difficult diagnosis to
establish, particularly because of its rarity and non-specific clinical
appearance, and should be included in the differential diagnosis of oral lesions.
It is rarely a primary infection, and an early diagnosis is essential to avoid
the occurrence of complications.
Author
(s) Details
Horia Mocanu
Department of ENT&HNS, Faculty of Medicine, “Titu Maiorescu”
University, 031593, Bucharest, Romania and Department of ENT&HNS, Gaesti
City Hospital, 135200, Gaesti, Dambovita, Romania.
Adela-Ioana Mocanu
Department of ENT&HNS, Gaesti City Hospital, 135200, Gaesti, Dambovita,
Romania and Faculty of Medicine, Doctoral School, “Titu Maiorescu” University,
031593 Bucharest, Romania.
Please see the book here:- https://doi.org/10.9734/bpi/mmrnp/v10/2565
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