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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 12. no 1. March 2013  

 Review articles
Cases of extrapulmonary tuberculosis
Agata Gierlotka, Piotr Przybyłek, Jacek Kozakiewicz

Introduction. In spite of easier accessibility of medical care and
improved antibiotic therapy, tuberculosis continues to be a major
problem. It is estimated that ca. 33% of population worldwide is
infected with Mycobacterium tuberculosis, 9 million new cases of
the disease are diagnosed each year, and the number of the fatal
cases is 2 million p.a. Pulmonary tuberculosis accounts for 99%
of the cases, while the remaining 10% include different forms
of extrapulmonary tuberculosis. In Poland, the proportion of
extrapulmonary tuberculosis cases is smaller, about 5.5%. The
laryngeal tuberculosis accounts for less than 1% of the cases.
Aim. The aim of this study was to highlight that tuberculosis
must be considered in differential diagnosis of pathology in
larynx, pharynx, oral cavity and lymph nodes.
Material and methods. Nine cases of primary and secondary
tuberculosis of the head and neck diagnoses at the ENT Department
of the Regional Hospital No. 4 in Bytom have been
reported in this paper.
Results. The symptoms of tuberculosis noted in the patients’
cephalic and cervical organs could be indicative of cancer. The final
diagnosis was based on the combined results of bacteriological,
histopathological and radiological examinations. After diagnosis
had been established, all patients were transferred for further
treatment with tuberculostatics in specialized departments.
Conclusions. The elevated incidence of tuberculosis observed
recently is associated with increased migration of various
population groups. The diagnostic process and treatment of
extrapulmonary tuberculosis can be considerably accelerated by
performing the x-ray of the chest before the patient is referred
to the hospital

keywords: gruźlica w obrębie głowy i szyi, gruźlica pozapłucna, head and neck tuberculosis, extrapulmonarytuberculosis

pages: from 55 to 59

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