Laryngopharyngeal Tuberculosis Mimicking Hypopharyngeal Carcinoma

Authors

  • Adam bin Mohamad university science of malaysia http://orcid.org/0000-0001-9373-9709
  • Muhamad Nasri Abu Bakar Hospital Tengku Ampuan Afzan Kuantan
  • Arfahiza Selimin Hospital Tengku Ampuan Afzan Kuantan.
  • Irfan Mohamad Hospital Universiti Sains Malaysia.

Keywords:

Laryngopharyngeal Tuberculosis, Ziehl-Neelsen staining, odynophagia

Abstract

Laryngopharyngeal tuberculosis (TB) is a rare disease and usually associated with pulmonary tuberculosis. Mostly, it occurs in adults without BCG vaccination or in immuno-compromised patients (such as AIDS patients). A 34-year-old gentleman with odynophagia and poor oral intake was referred to us to rule out malignancy. Direct laryngoscopy examination revealed ulcerative lesion involving right tonsillar fossa extending downward till right pyriform sinus. Panendoscopy and biopsy was performed. Laryngopharyngeal TB was diagnosed based on the histopathological examination and Ziehl-Neelsen staining.

Author Biographies

  • Adam bin Mohamad, university science of malaysia
    medical officer
  • Muhamad Nasri Abu Bakar, Hospital Tengku Ampuan Afzan Kuantan

    ORL Head and Neck Surgeon

    Department of Otorhinolaryngology

    Hospital Tengku Ampuan Afzan Kuantan

    25150 Kuantan Pahang

  • Arfahiza Selimin, Hospital Tengku Ampuan Afzan Kuantan.
    Senior Pathologist.Department of Pathology.Hospital Tengku Ampuan Afzan Kuantan.25150 Kuantan Pahang
  • Irfan Mohamad, Hospital Universiti Sains Malaysia.
    ORL Head and Neck Surgeon.Department of Otorhinolaryngology.Hospital Universiti Sains Malaysia.Kubang Kerian.16150 Kota Bharu Kelantan

References

Erbaycu A, Taymaz Z, Tuksavul F, Afrashi A, Güçlü S. What happens when oral tuberculosis is not treated? Monaldi Archives for Chest Disease. 2016;67(2):116-8.

De Backer A, Mortele K, De Keulenaer B, Parizel P. Tuberculosis: epidemiology, manifestations, and the value of medical imaging in diagnosis. Journal Belge de Radiologie - Belgisch Tijdschrift voor Radiologi. 2006;89(5):243.

Vaid S, Lee Y, Rawat S, Luthra A, Shah D, Ahuja A. Tuberculosis in the head and neck—a forgotten differential diagnosis. Clinical Radiology. 2010;65(1):73-81.

Prasad KC, Sreedharan S, Chakravarthy Y, Prasad SC. Tuberculosis in the head and neck: experience in India. The Journal of Laryngology & Otology. 2007;121(10):979-85.

Ricciardiello F, Martufi S, Cardone M, Cavaliere M, D’errico P, Iengo M. Otorhinolaryngology-related tuberculosis. Acta Otorhinolaryngologica Italica. 2006;26(1):38.

Ito K, Morooka M, Kubota K. 18F-FDG PET/CT findings of pharyngeal tuberculosis. Annals of Nuclear Medicine. 2010;24(6):493-6.

Nalini B, Vinayak S. Tuberculosis in ear, nose, and throat practice: its presentation and diagnosis. American Journal of Otolaryngology. 2006;27(1):39-45.

Belizna C, Kerleau J, Heron F, Lévesque H. Tonsillar and lymph node tuberculosis revealing asymptomatic pulmonary tuberculosis. QJM: An International Journal of Medicine. 2007;100(12):800-1.

Kenmochi M, Ohashi T, Nishino H, Sato S, Tanaka Y, Koizuka I, et al. A case report of difficult diagnosis in the patient with advanced laryngeal tuberculosis. Auris Nasus Larynx. 2003;30:131-4.

Moon WK, Han MH, Chang KH, Im J-G, Kim H-J, Sung KJ, et al. CT and MR imaging of head and neck tuberculosis. Radiographics. 1997;17(2):391-402.

Singh K, Kaur G, Parmar T. Pseudo tumoral laryngeal tuberculosis. Indian Pediatrics. 2003;40(1):49-51.

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Published

2018-06-08

Issue

Section

Journal of Biomedical and Clinical Sciences