Primary Tuberculosis of Tonsils: A Case Report

Tuberculosis is one of the major causes of ill health and death worldwide. Isolated tuberculosis of tonsil in the absence of active pulmonary tuberculosis is a very rare clinical entity. A 10-year-male child presented with recurrent episodes of upper respiratory tract infections, with 2-3 occurrence...

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Main Authors: Pooja Prasad, Minakshi Bhardwaj
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/120382
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author Pooja Prasad
Minakshi Bhardwaj
author_facet Pooja Prasad
Minakshi Bhardwaj
author_sort Pooja Prasad
collection DOAJ
description Tuberculosis is one of the major causes of ill health and death worldwide. Isolated tuberculosis of tonsil in the absence of active pulmonary tuberculosis is a very rare clinical entity. A 10-year-male child presented with recurrent episodes of upper respiratory tract infections, with 2-3 occurrences per month for the past 6 years. On general physical examination, bilateral tonsils showed grade III enlargement and congestion. Posterior pharyngeal wall was clear. Examination of the chest was within normal limits. Histopathological examination of bilateral tonsils revealed caseating and noncaseating epithelioid cell granulomas with Langhans giant cells. Ziehl-Neelsen stain for acid fast bacillus was positive. Features were consistent with a diagnosis of tuberculosis of tonsils. Tuberculosis of the oral cavity is uncommon and lesions may be either primary or secondary. Early detection and intervention is essential for cure. Isolated and primary tuberculosis of the tonsils in the absence of pulmonary tuberculosis is a rare entity, which prompted us to report this case.
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spelling doaj-art-2cbb35ec833c4ce8a3b81b42e7b400722025-08-20T02:24:18ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/120382120382Primary Tuberculosis of Tonsils: A Case ReportPooja Prasad0Minakshi Bhardwaj1Department of Pathology, PGIMER and Dr. Ram Manohar Lohia Hospital, 110001 New Delhi, IndiaDepartment of Pathology, PGIMER and Dr. Ram Manohar Lohia Hospital, 110001 New Delhi, IndiaTuberculosis is one of the major causes of ill health and death worldwide. Isolated tuberculosis of tonsil in the absence of active pulmonary tuberculosis is a very rare clinical entity. A 10-year-male child presented with recurrent episodes of upper respiratory tract infections, with 2-3 occurrences per month for the past 6 years. On general physical examination, bilateral tonsils showed grade III enlargement and congestion. Posterior pharyngeal wall was clear. Examination of the chest was within normal limits. Histopathological examination of bilateral tonsils revealed caseating and noncaseating epithelioid cell granulomas with Langhans giant cells. Ziehl-Neelsen stain for acid fast bacillus was positive. Features were consistent with a diagnosis of tuberculosis of tonsils. Tuberculosis of the oral cavity is uncommon and lesions may be either primary or secondary. Early detection and intervention is essential for cure. Isolated and primary tuberculosis of the tonsils in the absence of pulmonary tuberculosis is a rare entity, which prompted us to report this case.http://dx.doi.org/10.1155/2012/120382
spellingShingle Pooja Prasad
Minakshi Bhardwaj
Primary Tuberculosis of Tonsils: A Case Report
Case Reports in Medicine
title Primary Tuberculosis of Tonsils: A Case Report
title_full Primary Tuberculosis of Tonsils: A Case Report
title_fullStr Primary Tuberculosis of Tonsils: A Case Report
title_full_unstemmed Primary Tuberculosis of Tonsils: A Case Report
title_short Primary Tuberculosis of Tonsils: A Case Report
title_sort primary tuberculosis of tonsils a case report
url http://dx.doi.org/10.1155/2012/120382
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AT minakshibhardwaj primarytuberculosisoftonsilsacasereport