Primary Adenotonsillar Tuberculosis in an Immunocompetent Child -A Case Report

Document Type: Case Report

Authors

1 Department of Otorhinolaryngology - Head and Neck Surgery, University of Malaya, Kuala Lumpur, Malaysia

2 Department of Otorhinolaryngology - Head and Neck Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, 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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