胸部に異常を認めなかった上咽頭結核の1例

概要

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Nasopharyngeal tuberculosis accompanying pulmonary tuberculosis was not rare in pre-chemotherapy era, whereas solitary nasopharyngeal tuberculosis with negative chest X-ray was very rare not only in Japan, but also throughout the world.<BR>A case of nasopharyngeal tuberculosis without signs of active or prior radiographic findings of tuberculosis is reported.<BR>The patient was a 45-year-old woman, who complained of pharyngeal pain, left nasal obstruction and a feeling of fullness in the left ear.Ulcers with thick yellow-white coating were seen in the nasopharynx.Biopsy specimens revealed tuberculous changes with acid fast bacilli and culture of swab from the nasopharynx was positive for tubercle bacilli.<BR>Generally speaking, the prognosis of nasopharyngeal tuberculosis is good, but early detection and treatment is important as nasopharyngeal obstruction may occur if the disease is detected in later stage.