原発性上咽頭結核例

  • 杉本 一郎
    独立行政法人国立病院機構東広島医療センター耳鼻咽喉科
  • 宮脇 浩紀
    独立行政法人国立病院機構東広島医療センター耳鼻咽喉科

書誌事項

タイトル別名
  • A Case of Primary Nasopharyngeal Tuberculosis
  • リンショウ ゲンパツセイ ジョウイントウ ケッカクレイ

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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.

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