Unusual Presentation of Extra Pulmonary Tuberculosis in Middle aged Female: A Unique Case Report

Pulmonary tuberculosis (TB) is a leading cause of morbidity and mortality among all infectious diseases especially in Pakistan where TB is endemic while extra pulmonary TB often encountered. However, primary salivary gland specifically unilateral parotid gland involvement is exceedingly uncommon. We...

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Main Authors: Madeeha Shahid, Pirhay Fatma, Nazia Qamar, Muhammad Salman Zafar, Aun Ali, Aamir Hussain
Format: Article
Language:English
Published: Bahria Univerisy Health Sciences, Campus Karachi 2024-04-01
Series:Journal of Bahria University Medical and Dental College
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Online Access:https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/1435
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author Madeeha Shahid
Pirhay Fatma
Nazia Qamar
Muhammad Salman Zafar
Aun Ali
Aamir Hussain
author_facet Madeeha Shahid
Pirhay Fatma
Nazia Qamar
Muhammad Salman Zafar
Aun Ali
Aamir Hussain
author_sort Madeeha Shahid
collection DOAJ
description Pulmonary tuberculosis (TB) is a leading cause of morbidity and mortality among all infectious diseases especially in Pakistan where TB is endemic while extra pulmonary TB often encountered. However, primary salivary gland specifically unilateral parotid gland involvement is exceedingly uncommon. We present a case of 38-year old woman with six months duration of right parotid lump. The lump was firm and non-tender with bilateral cervical lymphadenopathy. No other constitutional symptoms of TB in our patient except weight loss. We presumed it a parotid neoplasm but after workup it reveals parotid TB which responds to first line anti-tuberculous therapy (ATT). So, careful exclusion of parotid neoplasm prevented unwanted surgery in our patient and patient recovered without any residual disease. We proposed that the differential diagnosis of a parotid gland swelling should include the infrequent possibility of parotid gland tuberculosis.
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institution DOAJ
issn 2220-7562
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language English
publishDate 2024-04-01
publisher Bahria Univerisy Health Sciences, Campus Karachi
record_format Article
series Journal of Bahria University Medical and Dental College
spelling doaj-art-3de14513b5b84c0ebcc18d7ddf8362bd2025-08-20T02:45:03ZengBahria Univerisy Health Sciences, Campus KarachiJournal of Bahria University Medical and Dental College2220-75622617-94822024-04-01140216717010.51985/JBUMDC20243171435Unusual Presentation of Extra Pulmonary Tuberculosis in Middle aged Female: A Unique Case ReportMadeeha ShahidPirhay FatmaNazia QamarMuhammad Salman ZafarAun AliAamir HussainPulmonary tuberculosis (TB) is a leading cause of morbidity and mortality among all infectious diseases especially in Pakistan where TB is endemic while extra pulmonary TB often encountered. However, primary salivary gland specifically unilateral parotid gland involvement is exceedingly uncommon. We present a case of 38-year old woman with six months duration of right parotid lump. The lump was firm and non-tender with bilateral cervical lymphadenopathy. No other constitutional symptoms of TB in our patient except weight loss. We presumed it a parotid neoplasm but after workup it reveals parotid TB which responds to first line anti-tuberculous therapy (ATT). So, careful exclusion of parotid neoplasm prevented unwanted surgery in our patient and patient recovered without any residual disease. We proposed that the differential diagnosis of a parotid gland swelling should include the infrequent possibility of parotid gland tuberculosis.https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/1435anti-tuberculous therapy, extra-pulmonary tuberculosis, fine needle aspiration cytology, parotid tuberculosis.
spellingShingle Madeeha Shahid
Pirhay Fatma
Nazia Qamar
Muhammad Salman Zafar
Aun Ali
Aamir Hussain
Unusual Presentation of Extra Pulmonary Tuberculosis in Middle aged Female: A Unique Case Report
Journal of Bahria University Medical and Dental College
anti-tuberculous therapy, extra-pulmonary tuberculosis, fine needle aspiration cytology, parotid tuberculosis.
title Unusual Presentation of Extra Pulmonary Tuberculosis in Middle aged Female: A Unique Case Report
title_full Unusual Presentation of Extra Pulmonary Tuberculosis in Middle aged Female: A Unique Case Report
title_fullStr Unusual Presentation of Extra Pulmonary Tuberculosis in Middle aged Female: A Unique Case Report
title_full_unstemmed Unusual Presentation of Extra Pulmonary Tuberculosis in Middle aged Female: A Unique Case Report
title_short Unusual Presentation of Extra Pulmonary Tuberculosis in Middle aged Female: A Unique Case Report
title_sort unusual presentation of extra pulmonary tuberculosis in middle aged female a unique case report
topic anti-tuberculous therapy, extra-pulmonary tuberculosis, fine needle aspiration cytology, parotid tuberculosis.
url https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/1435
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AT muhammadsalmanzafar unusualpresentationofextrapulmonarytuberculosisinmiddleagedfemaleauniquecasereport
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