A rare association of tonsillar tuberculosis and lichen scrofulosorum
Abstract Background Both tonsillar tuberculosis and lichen scrofulosorum are sporadic presentations of extrapulmonary tuberculosis. Lichen scrofulosorum commonly presents in children and young adults as lichenoid eruptions over the skin. Granulomatous inflammation of the tonsils, however, presents a...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-02-01
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| Series: | The Egyptian Journal of Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43163-021-00083-z |
| _version_ | 1827279619125936128 |
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| author | Anshika Harit Anjan Kumar Sahoo Ishwar Singh |
| author_facet | Anshika Harit Anjan Kumar Sahoo Ishwar Singh |
| author_sort | Anshika Harit |
| collection | DOAJ |
| description | Abstract Background Both tonsillar tuberculosis and lichen scrofulosorum are sporadic presentations of extrapulmonary tuberculosis. Lichen scrofulosorum commonly presents in children and young adults as lichenoid eruptions over the skin. Granulomatous inflammation of the tonsils, however, presents as non-specific sore throat and foreign body sensation in the throat. The concomitant presentation of the abovementioned tubercular manifestations has not been reported in the literature. Case presentation Herein, we report a case of an 11-year-old male patient who presented with a history of recurrent sore throat and ulcerative lesion over the tonsil. Systemic examination revealed multiple perifollicular eruptions over the trunk and back. The diagnosis was confirmed on histopathological findings of epithelioid cell granulomas with Langerhans giant cells following biopsy from the tonsil and skin lesions. Antitubercular therapy was initiated soon after. The patient responded to treatment as early as 6 weeks and was completely asymptomatic at 1 year of follow-up. Conclusion A diagnosis of granulomatous tonsillitis should alert the physician to the possibility of underlying systemic tuberculosis. In our case, coexistence of lichen scrofulosorum helped us to substantiate the diagnosis based on the biopsy report. Response to antitubercular agents is excellent and should be started at the earliest. |
| first_indexed | 2024-04-24T08:21:55Z |
| format | Article |
| id | doaj.art-cdd748ff184245a0bc41641d83ab1f3c |
| institution | Directory Open Access Journal |
| issn | 1012-5574 2090-8539 |
| language | English |
| last_indexed | 2024-04-24T08:21:55Z |
| publishDate | 2021-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Otolaryngology |
| spelling | doaj.art-cdd748ff184245a0bc41641d83ab1f3c2024-04-17T00:43:03ZengSpringerOpenThe Egyptian Journal of Otolaryngology1012-55742090-85392021-02-013711410.1186/s43163-021-00083-zA rare association of tonsillar tuberculosis and lichen scrofulosorumAnshika Harit0Anjan Kumar Sahoo1Ishwar Singh2Department of ENT, Dr. Baba Saheb Ambedkar Medical College and HospitalDepartment of ENT, Maulana Azad Medical College & Lok Nayak HospitalDepartment of ENT, Maulana Azad Medical College & Lok Nayak HospitalAbstract Background Both tonsillar tuberculosis and lichen scrofulosorum are sporadic presentations of extrapulmonary tuberculosis. Lichen scrofulosorum commonly presents in children and young adults as lichenoid eruptions over the skin. Granulomatous inflammation of the tonsils, however, presents as non-specific sore throat and foreign body sensation in the throat. The concomitant presentation of the abovementioned tubercular manifestations has not been reported in the literature. Case presentation Herein, we report a case of an 11-year-old male patient who presented with a history of recurrent sore throat and ulcerative lesion over the tonsil. Systemic examination revealed multiple perifollicular eruptions over the trunk and back. The diagnosis was confirmed on histopathological findings of epithelioid cell granulomas with Langerhans giant cells following biopsy from the tonsil and skin lesions. Antitubercular therapy was initiated soon after. The patient responded to treatment as early as 6 weeks and was completely asymptomatic at 1 year of follow-up. Conclusion A diagnosis of granulomatous tonsillitis should alert the physician to the possibility of underlying systemic tuberculosis. In our case, coexistence of lichen scrofulosorum helped us to substantiate the diagnosis based on the biopsy report. Response to antitubercular agents is excellent and should be started at the earliest.https://doi.org/10.1186/s43163-021-00083-zTuberculosis, CutaneousPalatine tonsilAntitubercular agentsDiagnosis, Differential |
| spellingShingle | Anshika Harit Anjan Kumar Sahoo Ishwar Singh A rare association of tonsillar tuberculosis and lichen scrofulosorum The Egyptian Journal of Otolaryngology Tuberculosis, Cutaneous Palatine tonsil Antitubercular agents Diagnosis, Differential |
| title | A rare association of tonsillar tuberculosis and lichen scrofulosorum |
| title_full | A rare association of tonsillar tuberculosis and lichen scrofulosorum |
| title_fullStr | A rare association of tonsillar tuberculosis and lichen scrofulosorum |
| title_full_unstemmed | A rare association of tonsillar tuberculosis and lichen scrofulosorum |
| title_short | A rare association of tonsillar tuberculosis and lichen scrofulosorum |
| title_sort | rare association of tonsillar tuberculosis and lichen scrofulosorum |
| topic | Tuberculosis, Cutaneous Palatine tonsil Antitubercular agents Diagnosis, Differential |
| url | https://doi.org/10.1186/s43163-021-00083-z |
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