鼻咽结核合并中耳结核:病例报告及文献复习。

IF 1 4区 医学 Q3 OTORHINOLARYNGOLOGY Ent-Ear Nose & Throat Journal Pub Date : 2025-03-01 Epub Date: 2022-05-21 DOI:10.1177/01455613221103087
Minheon Kim, Joo Hyung Lee, Ha Neul Lee, Dong-Joon Park, Eun Jung Lee
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引用次数: 0

摘要

肺结核(TB)是由结核分枝杆菌(MTB)引起的一种传染病,可影响肺部(肺结核)和其他部位(肺外结核)。鼻咽结核是一种罕见的肺外结核。由于NPTB具有非特异性临床表现,怀疑指数低,临床医生很难做出早期诊断和正确治疗。我们最近遇到一位42岁的女性,患有NPTB并伴有中耳结核,这与鼻咽癌非常相似。由于根据内镜检查和影像学研究很难确认NPTB的诊断,该患者接受了鼻咽活检,最终聚合酶链式反应(PCR)证实了NPTB。本报告描述了我们的NPTB病例,并总结了韩国报告的所有NPTB病例。我们强调,对于高度怀疑NPTB的病例,应考虑使用抗菌涂片和额外的PCR或特异性TB血液检测进行活性组织活检。
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Nasopharyngeal Tuberculosis with Concomitant Middle Ear Tuberculosis: A Case Report and Literature Review.

Tuberculosis (TB), an infectious disease caused by Mycobacterium tuberculosis (MTB), can affect the lungs (pulmonary TB) as well as other sites (extrapulmonary TB). Nasopharyngeal tuberculosis (NPTB) is a rare type of extrapulmonary TB. Since NPTB has nonspecific clinical presentation with low index of suspicion, it is difficult for clinicians to make an early diagnosis and proper treatment. We recently encountered a 42-year-old woman with NPTB concomitant with middle ear TB, which strongly mimicked nasopharyngeal carcinoma. Since the diagnosis of NPTB was difficult to confirm based on endoscopic findings and imaging studies, this patient underwent nasopharyngeal biopsy, and finally, polymerase chain reaction (PCR) confirmed NPTB. This report describes our NPTB case as well as summarizes all cases of NPTB reported in South Korea. We highlight that active tissue biopsy with antibacterial smear and additional PCR or specific TB blood test should be considered for cases with high suspicion of NPTB.

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来源期刊
Ent-Ear Nose & Throat Journal
Ent-Ear Nose & Throat Journal 医学-耳鼻喉科学
CiteScore
3.20
自引率
0.00%
发文量
385
审稿时长
6-12 weeks
期刊介绍: Ear, Nose & Throat Journal provides practical, peer-reviewed original clinical articles, highlighting scientific research relevant to clinical care, and case reports that describe unusual entities or innovative approaches to treatment and case management. ENT Journal utilizes multiple channels to deliver authoritative and timely content that informs, engages, and shapes the industry now and into the future.
期刊最新文献
A rare case of Epstein-Barr virus-positive anaplastic plasmacytoma in the sinonasal tract. Pediatric Post-Cricoid Actinomyces. A Rare Case of Aggressive Metastatic Laryngeal Chondrosarcoma Presenting as Bilateral Necrotizing Pneumonia. A case report: Establishment of a frontal sinus drainage canal and reconstruction of the orbitofrontal region after removal of a giant frontal sinus osteoma. An unusual case of retropharyngeal ectopic parathyroid adenoma.
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