Extranodal tuberculosis of the head and neck: Our experiences at a tertiary care teaching hospital of East India
Introduction: Extranodal tuberculosis of the head-and-neck area is a rare clinical entity and constitutes a less common type of extrapulmonary tuberculosis. It often creates challenges among head-and-neck physicians for its diagnosis and treatment. Objective: The aim of the study is to discuss the c...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| Subjects: | |
| Online Access: | http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2020;volume=13;issue=5;spage=465;epage=469;aulast=Swain |
| _version_ | 1818436758055944192 |
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| author | Santosh Kumar Swain Jatindra Nath Mohanty Mahesh Chandra Sahu |
| author_facet | Santosh Kumar Swain Jatindra Nath Mohanty Mahesh Chandra Sahu |
| author_sort | Santosh Kumar Swain |
| collection | DOAJ |
| description | Introduction: Extranodal tuberculosis of the head-and-neck area is a rare clinical entity and constitutes a less common type of extrapulmonary tuberculosis. It often creates challenges among head-and-neck physicians for its diagnosis and treatment. Objective: The aim of the study is to discuss the clinical presentations, diagnostic challenges, and treatment of extranodal tuberculosis of the head-and-neck area. Materials and Methods: There are 22 patients of extranodal locations of tuberculosis in the head-and-neck region managed at our teaching hospital between December 2014 and January 2019. Results: The sinonasal tract affected in 5 cases, the tonsils in 4 cases, the middle ear cleft in 4 cases, the nasopharynx in 3 cases, and the larynx in 3 cases. The parotid gland affected with tuberculosis in 2 cases and 1 case in the thyroid gland. The clinical presentations, imaging, and endoscopic pictures are not specific, whereas the diagnosis is based on histopathological examination. All the patients treated with antitubercular therapy. All patients showed favorable results after 1-year follow-up. Conclusion: Extranodal tuberculosis is a rare clinical entity and has no specific clinical features. It is often a differential diagnosis of head-and-neck malignancies and chronic infective or noninfective ulcers. Early diagnosis and its treatment may avoid complications and needless major surgery. |
| first_indexed | 2024-12-14T17:13:52Z |
| format | Article |
| id | doaj.art-43ea1aadb0f94c2ca6d220cc02c5cd32 |
| institution | Directory Open Access Journal |
| issn | 2589-8302 2589-8310 |
| language | English |
| last_indexed | 2024-12-14T17:13:52Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| spelling | doaj.art-43ea1aadb0f94c2ca6d220cc02c5cd322022-12-21T22:53:27ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil Vidyapeeth2589-83022589-83102020-01-0113546546910.4103/mjdrdypu.mjdrdypu_168_19Extranodal tuberculosis of the head and neck: Our experiences at a tertiary care teaching hospital of East IndiaSantosh Kumar SwainJatindra Nath MohantyMahesh Chandra SahuIntroduction: Extranodal tuberculosis of the head-and-neck area is a rare clinical entity and constitutes a less common type of extrapulmonary tuberculosis. It often creates challenges among head-and-neck physicians for its diagnosis and treatment. Objective: The aim of the study is to discuss the clinical presentations, diagnostic challenges, and treatment of extranodal tuberculosis of the head-and-neck area. Materials and Methods: There are 22 patients of extranodal locations of tuberculosis in the head-and-neck region managed at our teaching hospital between December 2014 and January 2019. Results: The sinonasal tract affected in 5 cases, the tonsils in 4 cases, the middle ear cleft in 4 cases, the nasopharynx in 3 cases, and the larynx in 3 cases. The parotid gland affected with tuberculosis in 2 cases and 1 case in the thyroid gland. The clinical presentations, imaging, and endoscopic pictures are not specific, whereas the diagnosis is based on histopathological examination. All the patients treated with antitubercular therapy. All patients showed favorable results after 1-year follow-up. Conclusion: Extranodal tuberculosis is a rare clinical entity and has no specific clinical features. It is often a differential diagnosis of head-and-neck malignancies and chronic infective or noninfective ulcers. Early diagnosis and its treatment may avoid complications and needless major surgery.http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2020;volume=13;issue=5;spage=465;epage=469;aulast=Swainantitubercular treatmentextranodalheadnecktuberculosis |
| spellingShingle | Santosh Kumar Swain Jatindra Nath Mohanty Mahesh Chandra Sahu Extranodal tuberculosis of the head and neck: Our experiences at a tertiary care teaching hospital of East India Medical Journal of Dr. D.Y. Patil Vidyapeeth antitubercular treatment extranodal head neck tuberculosis |
| title | Extranodal tuberculosis of the head and neck: Our experiences at a tertiary care teaching hospital of East India |
| title_full | Extranodal tuberculosis of the head and neck: Our experiences at a tertiary care teaching hospital of East India |
| title_fullStr | Extranodal tuberculosis of the head and neck: Our experiences at a tertiary care teaching hospital of East India |
| title_full_unstemmed | Extranodal tuberculosis of the head and neck: Our experiences at a tertiary care teaching hospital of East India |
| title_short | Extranodal tuberculosis of the head and neck: Our experiences at a tertiary care teaching hospital of East India |
| title_sort | extranodal tuberculosis of the head and neck our experiences at a tertiary care teaching hospital of east india |
| topic | antitubercular treatment extranodal head neck tuberculosis |
| url | http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2020;volume=13;issue=5;spage=465;epage=469;aulast=Swain |
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