DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20185132

A mimic of nasopharynx carcinoma turned out to be primary nasopharynx tuberculosis

Sivanes Chandrashekaran, Mohd Syukra bin Abd Ghani

Abstract


Nasopharyngeal tuberculosis is indeed a rare manifestation of extrapulmonary tuberculosis. The general symptoms of nasopharyngeal tuberculosis are nasal obstruction, neck mass, epitaxis, rhinorrhoea, otalgia and hearing loss. Constitutional symptoms may present in almost 12-30% of nasopharyngeal tuberculosis cases, hence it often disguise as nasopharyngeal carcinoma in patients. Apart from that, most cases of nasopharyngeal tuberculosis usually occur with combined active pulmonary tuberculosis or systemic infection. Hereby presenting a case of nasopharyngeal tuberculosis in a lady who is otherwise healthy presented with neck mass for duration of two months with no obstructive symptoms. Upon proceeding with rigid nasal endoscopy, obliteration of fossa of rossenmuller was noted and biopsy confirmed tuberculosis. Patient was immediately started on antituberculosis therapy. Upon subsequent follow ups, resolution of the neck mass was noted. Hence, it is crucial to have a high index of suspiciousness to rule out nasopharyngeal tuberculosis as this is a curable disease and failure to do so can pave way for the deathly pathogen to disseminate in its host and cause mortality.


Keywords


Nasopharynx, Tuberculosis

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References


World Health Organization. Global tuberculosis report 2018; 2018. Available at: https://www.who.int/tb/publications/global_report/en/

Nieves CS, Onofre RDC, Aberin-Roldon FCA, Gutierrez RLC. Nasopharyngeal tuberculosis in a patient presenting with upper airway obstruction. Philipp J Otolaryngol Head Neck Surg. 2010;25(1):20-2.

Prasad BKD, Kejariwal GS, Sahu SN. Case report: Nasopharyngeal tuberculosis. Indian J Radiol Imaging. 2008;18(1):63-5.

Booth JB, Kerr GA, editors. Scott-Brown's “otolaryngology”. 6th ed. Vol 5. Mumbai: K. M. Varghese Company; 1997.

Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Schuller DE, Richardson MA, editors. Otolaryngology, Head and Neck surgery. 3rd ed. London: Mosby Publisher; 1998.

Sharma HS, Kurl DN, Kamal MZ. Tuberculoid granulomatous lesion of the pharynx: Review of the literature. Auris Nasus Larynx. 1998;25:187-91.

Rohwedder JJ. Upper respiratory tract tuberculosis: Sixteen cases in a general hospital. Ann Intern Med. 1974;80:708-13.

Civelek, Sayın Ý, Ercan Ý, Çakýr BÖ, Turgut S, Baþak T. Nasopharyngeal tuberculosis: A case report. Turk Arch Otolaryngol. 2008;46:53-7.

Tse GM, Ma TK, Chan AB, Ho FN, King AD, Fung KS, et al. Tuberculosis of the nasopharynx: A rare entity revisited. Laryngoscope. 2003;113:737-40.

Sithinamsuwan P, Sakulsaengprapha A, Chinvarun Y. Nasopharyngeal tuberculosis: a case report presenting with diplopia. J Med Assoc Thai. 2005;88:1442-6.

Jaafar J, Hitam WHW, Noor RAM. Bilateral atypical optic neuritis associated with tuberculosis in an immunocompromised patient. Asian Pac J Trop Biomed. 2012;2(7):586.

Özkırıº M, Kubilay U, Aydin E, Özkiriº F, Kayabaºoðlu G, Ünver. Primary nasopharyngeal tuberculosis. KBB-Forum. 2005;4.

Helbling CA, Lieger O, Smolka W, Iizuka T, Kuttenberger J. Primary tuberculosis of the TMJ: Presentation of a case and literature review. Int J Oral Maxillofac Surg. 2010;39:834-8.