Primary Adenotonsillar Tuberculosis in an Immunocompetent Child -A Case Report

Authors

  • Chee-Chean Lim Department of Otorhinolaryngology - Head and Neck Surgery, University of Malaya, Kuala Lumpur, Malaysia
  • Halimuddin Sawali Department of Otorhinolaryngology - Head and Neck Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia.
  • Khairunisak Misron Department of Otorhinolaryngology - Head and Neck Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia.
  • Siow-Ping Loong Department of Otorhinolaryngology - Head and Neck Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia.
  • Yew-Toong Liew Department of Otorhinolaryngology - Head and Neck Surgery, University of Malaya, Kuala Lumpur, Malaysia
Abstract:

Introduction: Primary tuberculosis (TB) of the oropharynx and nasopharynx is an extremely rare form of extra-pulmonary TB in children. Primary tuberculosis occurs more likely secondary to pulmonary TB and is more common in immunocompromised patients.   Case Report: We reported the case of a young male presented with the symptoms of non-specific chronic adenotonsillitis, mild obstructive sleep apnoea, and cervical lymphadenopathy. Subsequently, he underwent adenotonsillectomy and excision of the cervical lymph node with the tissue specimens came back strongly positive for TB. Then, he started using antituberculous medication and recovered well.   Conclusion: The authors would like to highlight this rare clinical entity in which accurate diagnosis is essential for complete treatment.

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Journal title

volume 31  issue 5

pages  319- 322

publication date 2019-09-01

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