Base of Tongue Tuberculosis: A Case Report

Autor: Carlos Chiesa Estomba, Ana Araujo da Costa, Teresa Rivera Schmitz, Pedro Vaamonde Lago
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Iranian Journal of Otorhinolaryngology, Vol 27, Iss 3, Pp 239-242 (2015)
Druh dokumentu: article
ISSN: 2251-7251
2251-726X
Popis: Introduction: Tuberculosis is an infectious disease that has displayed increasing incidence in the last decades. It is estimated that up to 20% of tuberculosis cases affect extra-pulmonary organs. In the ENT area, soft palate and tongue are the least probable locations. Case Report A 62-year-old female with a history of rheumatoid arthritis and treatment with corticosteroids and Adalimumab, developed a foreign body sensation in the pharynx accompanied by a sore throat and halitosis. The laryngoscopy with a 70 degree rigid telescope showed an ulcerated hypertrophic lesion in the right vallecula of about 2-3 cm in the base of the tongue. Acid-alcohol resistant bacilli were found positive for M. tuberculosis, through the Ziehl Neelsen method and Löwenstein culture the patient was treated with tuberculostatic medication. Conclusion: TB is a possible diagnosis when in the presence of an ulcerated lesion at the base of the tongue, accompanied by sore throat, dysphagia, or foreign body sensation.
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