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Anales de Otorrinolaringología Mexicana

2013, Number 2

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Otorrinolaringología 2013; 58 (2)

Utility of diagnostic tests in tuberculosis of the otolaryngology and the head and neck region

Prado CHM, MRodríguez VM, Marmissolle DGS

Language: Spanish
References: 25
Page: 96-103
PDF size: 416.96 Kb.


ABSTRACT

Background Clinical presentation of tuberculosis in head and neck now differs from the classically described forms. Given the low bacillary burden in extrapulmonary forms its diagnosis can be elusive.
Objectives To describe the clinical presentation of a series of cases of patients with infection by Mycobacteria in head and neck and to assess the relative utility of the diagnostic tests employed.
Material and method We reviewed the clinical records of patients with extrapulmonary tuberculosis.
Results We evaluated 33 cases of patients with tuberculosis in head and neck. We observed cervical adenopathy in 73%, three cases with otic location, three cases at the larynx, one with a thyroid location, one with nasal location, and another at the palate.
Conclusion We should raise the clinical suspicion in cases of chronic or recurring processes without adequate response to therapy or presenting with fistula, granulation tissue, or ulceration, especially in patients with some form of immunosuppression or history of contact with tuberculosis. Cases with acute presentation are exceptional but should be considered. We propose a diagnostic protocol in cases of suspicion of tuberculosis centered on the identification of granulomatous inflammation (biopsy) or the presence of Mycobacteria (staining or culture).


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