Abstract

CASE STUDY- EXTRANODAL ENT TUBERCULOSIS

Dr. D. Sridhara Naryanan* and Dr. Dhanya T, Dr. S. Anusha

Abstract

INTRODUCTION: Tuberculosis (TB) of the head and neck is one of the rarer forms of extrapulmonary tuberculosis but still poses a significant clinical and diagnostic challenge. Purpose: The aim of this study is to discuss diagnostic problems of the extra nodal ENT TB and to analyze its epidemiological and clinical specificities. Materials and methods: We report a study of 10 cases of extra-nodal locations of TB managed in the department of ENT at Sree Balaji Medical College And Hospital between 2013 and 2015. Results: The disease affected the nasopharynx in 6 cases, the tonsils in 2 cases and the larynx in 2 cases.The clinical signs as well as radiology and endoscopy are not specific. Diagnosis was based on histopathological examination. All our patients received anti-tubercular chemotherapy. The evolution was favorable with 12 months average outcome. Conclusion: There are no pathognomonic features indicative of this disease. It is important for otolaryngologists to mention TB as a differential diagnosis in head and neck malignancies and other chronic non infective and infective pathological conditions. Early diagnosis and therapy may prevent needless and risky surgery.

Keywords: Tuberculosis; Extra nodal; Head and neck, Extra pulmonary.