Primary tonsillar tuberculosis - case report

Vol. 60 No. 1, 2019

ROMANIAN JOURNAL of MORPHOLOGY and EMBRYOLOGY

Nicolae Constantin Balica, Marioara Poenaru, Maria Alexandra Preda, Eugen Radu Boia, Ovidiu Nicolae Burlacu, Ioana Delia Horhat, Carmen Aurelia Mogoanta, Alexandru Nicolae Vlaescu, Flavia Baderca, Emilia Manuela Jifcu, Cristian Andrei Sarau

We report the case of a 44-year-old male patient with tonsillar tuberculosis (TB) diagnosed in the Department of Ear, Nose et Throat (ENT), Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. The patient addressed to our Clinic with intense odynophagia, referred otalgia, sore throat, fever periods and weight loss. During the ENT clinical exam, we identified an enlarged left tonsil, partially covered with yellowish-white plaque, with ulceration and bleeding spots localized on tonsillar inferior pole. A high suspicion of tonsillar malignancy was raised, and a biopsy was performed revealing extrapulmonary TB. Taking into consideration the normal chest X-ray, a primary tonsillar TB diagnosis was established. The patient was addressed to Department of Pneumophthisiology for anti-tuberculous therapy for six months. At the end of the treatment, the patient was symptoms-free.

Corresponding author: Ioana Delia Horhat, Assistant Professor, MD, PhD; e-mail: deliahorhat@yahoo.com; Carmen Aurelia Mogoanta, Lecturer, MD, PhD; e-mail: carmen_mogoanta@yahoo.com

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