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Ahmad Nizar, Ahmad Hazim Hazlami, Ramli, Ramiza, Soleh, Mohd Najeb, Bakrin, Ikmal Hisyam. (1401). Primary Nasopharyngeal Tuberculosis: A Diagnostic Challenge. , 35(1), 61-66. doi: 10.22038/ijorl.2022.64781.3218
Ahmad Hazim Hazlami Ahmad Nizar; Ramiza Ramza Ramli; Mohd Najeb Soleh; Ikmal Hisyam Bakrin. "Primary Nasopharyngeal Tuberculosis: A Diagnostic Challenge". , 35, 1, 1401, 61-66. doi: 10.22038/ijorl.2022.64781.3218
Ahmad Nizar, Ahmad Hazim Hazlami, Ramli, Ramiza, Soleh, Mohd Najeb, Bakrin, Ikmal Hisyam. (1401). 'Primary Nasopharyngeal Tuberculosis: A Diagnostic Challenge', , 35(1), pp. 61-66. doi: 10.22038/ijorl.2022.64781.3218
Ahmad Nizar, Ahmad Hazim Hazlami, Ramli, Ramiza, Soleh, Mohd Najeb, Bakrin, Ikmal Hisyam. Primary Nasopharyngeal Tuberculosis: A Diagnostic Challenge. , 1401; 35(1): 61-66. doi: 10.22038/ijorl.2022.64781.3218

Primary Nasopharyngeal Tuberculosis: A Diagnostic Challenge

Iranian Journal of Otorhinolaryngology
مقاله 8، دوره 35، شماره 1، فروردین و اردیبهشت 2023، صفحه 61-66    اصل مقاله (622.8 K)
نوع مقاله: Case Report
شناسه دیجیتال (DOI): 10.22038/ijorl.2022.64781.3218
نویسندگان
Ahmad Hazim Hazlami Ahmad Nizar1؛ Ramiza Ramza Ramli* 1؛ Mohd Najeb Soleh2؛ Ikmal Hisyam Bakrin3
1Department of Otorhinolaryngology - Head & Neck Surgery, School of Medical Sciences, University Sains Malaysia Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.
2Department of Otorhinolaryngology - Head & Neck Surgery, Pantai Hospital Sungai Petani, 08000 Sungai Petani, Kedah, Malaysia.
3Department of Pathology, Faculty of Medicine and Health Sciences, University Putra Malaysia, 43000 Serdang, Selangor, Malaysia.
چکیده
Introduction:
Primary nasopharyngeal tuberculosis (NPTB) is a rare disease but should not be missed as one of the differential diagnoses for cervical lymphadenopathy or nasopharyngeal mass. 
Case Report:
We describe a case of a 38 year old lady, who presented with bilateral cervical lymphadenopathy associated with intermittent fever. Nasoendoscopy examination and computed tomography scan of the neck revealed a centrally located mass predominantly at the left posterior nasopharyngeal wall without obliteration of both fossae of Rosenmuller. Typical histopathological features of necrotizing granulomatous lymphadenitis together with the common clinical presentation of cervical lymphadenopathy and nasoendoscopy findings of nasopharyngeal mass conclude the diagnosis of nasopharyngeal tuberculosis. With anti-tuberculous therapy, the cervical lymphadenopathy and nasopharyngeal mass were completely resolved.
Conclusion:
Nasopharyngeal tuberculosis is an uncommon disease with great diagnostic challenges and with early diagnosis and adequate treatment, NPTB carries a good prognosis with complete disease resolution.
کلیدواژه‌ها
Lymphadenopathy؛ Nasopharyngeal mass؛ Neck mass؛ Tuberculosis
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