原発性上咽頭結核例 A Case of Primary Nasopharyngeal Tuberculosis
We report a case of primary nasopharyngeal tuberculosis in a 27-year-old woman who had immigrated to Japan from Vietnam. She initially complained of right cervical swelling. A red granular mass with ulcer was observed in the nasopharyx. A biopsy from the nasopharynx showed tuberculous changes. Tubercle bacilli were detected in a smear of pharyngeal discharge. Since there were no apparent pulmonary tuberculous lesions, we diagnosed the case as primary nasopharyngeal tuberculosis with tuberculous cervical lymphadenitis.<br>The nasopharyngeal lesion disappeared after three weeks anti-tuberculosis chemotherapy. Tuberculous cervical lymphadenitis increased despite chemotherapy, and required dissection and drainage.<br>Anti-tuberculosis chemotherapy was administered by a short course of carefully monitored treatment.
耳鼻咽喉科臨床 101(4), 275-279, 2008-04-01
The Society of Practical Otolaryngology