Bilateral tuberculous parotitis with facial nerve palsy: The first case report
Tuberculosis of salivary glands is a rare condition, even in endemic countries like Pakistan. Tuberculosis of the parotid gland is even rarer and with cases of bilateral tuberculous parotitis being even more unique. For the first time in literature, we report a novel case of bilateral tuberculous pa...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Otolaryngology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468548822000595 |
| _version_ | 1818506257447780352 |
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| author | Zaigham Jameel Muhammad Salar Raza Muhammad Umer Mukhtar |
| author_facet | Zaigham Jameel Muhammad Salar Raza Muhammad Umer Mukhtar |
| author_sort | Zaigham Jameel |
| collection | DOAJ |
| description | Tuberculosis of salivary glands is a rare condition, even in endemic countries like Pakistan. Tuberculosis of the parotid gland is even rarer and with cases of bilateral tuberculous parotitis being even more unique. For the first time in literature, we report a novel case of bilateral tuberculous parotitis with facial palsy in a thirty-eight-year-old female with no previously known comorbidities. The female presented with bilateral painful parotid swelling and a long history of constitutional symptoms. Diagnosis of tuberculous parotitis was confirmed with ultrasound-guided fine needle aspiration cytology which revealed variable sized granulomas containing epithelioid cells, macrophages and mature lymphocytes and a positive acid-fast bacilli smear. Patient was treated with anti-tubercular drugs (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol) to which she responded well and after three months of therapy her swelling and facial weakness improved significantly. In addition to reporting a completely new kind of presentation, this paper reviews relevant literature and stresses the need for a high degree of suspicion for tuberculous parotitis in a patient with chronic parotid swelling. Use of fine needle aspiration is important so that this curable condition can be diagnosed and medically treated. In this way, surgical intervention can be avoided and further complications can be prevented. |
| first_indexed | 2024-12-10T22:02:07Z |
| format | Article |
| id | doaj.art-4c3fb04278bf4ba6b9a939c3683dadd4 |
| institution | Directory Open Access Journal |
| issn | 2468-5488 |
| language | English |
| last_indexed | 2024-12-10T22:02:07Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Otolaryngology Case Reports |
| spelling | doaj.art-4c3fb04278bf4ba6b9a939c3683dadd42022-12-22T01:31:52ZengElsevierOtolaryngology Case Reports2468-54882022-09-0124100450Bilateral tuberculous parotitis with facial nerve palsy: The first case reportZaigham Jameel0Muhammad Salar Raza1Muhammad Umer Mukhtar2Shaikh Zayed Medical Complex, Pakistan; Corresponding author. New Muslim Town, Shaikh Zayed Medical Complex, Lahore, Punjab, 54000, Pakistan.Shaikh Zayed Medical Complex, PakistanKing Edward Medical University, PakistanTuberculosis of salivary glands is a rare condition, even in endemic countries like Pakistan. Tuberculosis of the parotid gland is even rarer and with cases of bilateral tuberculous parotitis being even more unique. For the first time in literature, we report a novel case of bilateral tuberculous parotitis with facial palsy in a thirty-eight-year-old female with no previously known comorbidities. The female presented with bilateral painful parotid swelling and a long history of constitutional symptoms. Diagnosis of tuberculous parotitis was confirmed with ultrasound-guided fine needle aspiration cytology which revealed variable sized granulomas containing epithelioid cells, macrophages and mature lymphocytes and a positive acid-fast bacilli smear. Patient was treated with anti-tubercular drugs (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol) to which she responded well and after three months of therapy her swelling and facial weakness improved significantly. In addition to reporting a completely new kind of presentation, this paper reviews relevant literature and stresses the need for a high degree of suspicion for tuberculous parotitis in a patient with chronic parotid swelling. Use of fine needle aspiration is important so that this curable condition can be diagnosed and medically treated. In this way, surgical intervention can be avoided and further complications can be prevented.http://www.sciencedirect.com/science/article/pii/S2468548822000595Tuberculous parotitisTuberculosisParotid glandFacial nerve palsy |
| spellingShingle | Zaigham Jameel Muhammad Salar Raza Muhammad Umer Mukhtar Bilateral tuberculous parotitis with facial nerve palsy: The first case report Otolaryngology Case Reports Tuberculous parotitis Tuberculosis Parotid gland Facial nerve palsy |
| title | Bilateral tuberculous parotitis with facial nerve palsy: The first case report |
| title_full | Bilateral tuberculous parotitis with facial nerve palsy: The first case report |
| title_fullStr | Bilateral tuberculous parotitis with facial nerve palsy: The first case report |
| title_full_unstemmed | Bilateral tuberculous parotitis with facial nerve palsy: The first case report |
| title_short | Bilateral tuberculous parotitis with facial nerve palsy: The first case report |
| title_sort | bilateral tuberculous parotitis with facial nerve palsy the first case report |
| topic | Tuberculous parotitis Tuberculosis Parotid gland Facial nerve palsy |
| url | http://www.sciencedirect.com/science/article/pii/S2468548822000595 |
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