Abstract
(1) To study the different patterns of presentations of tuberculosis in Head and Neck region. (2) To know the importance and reliability of ESR and Mantoux test as an aid in diagnosis of tuberculosis. This study was conducted at Department of ENT and Head and Neck Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh from January 2014 to June 2015. Patients presenting with lesions in the Head and Neck region suspected of tuberculosis were subjected for cytological and histological investigations. Those cases confirmed to be tuberculosis on the basis of either of these tests were included in the study. Study comprised of 113 proven cases of tuberculosis of Head and Neck region. A female preponderance of 1:1.97 (M:F) ratio was noted. Most commonly involved structure was cervical lymph node (92.92 %) followed by larynx, skin and oral mucosa (1.76 %). It was also noted that Mantoux test was positive in 93.8 % of patients and ESR was >30 mm (first hour) in 95.5 % of patients with tuberculosis. Most common presentation of Tuberculosis in Head and Neck area was cervical lymphadenopathy. In a developing country like India the population is mostly in the lower socioeconomic strata. Access to various modern investigations is limited and diagnosis is challenging. Here ESR and Mantoux test are helpful in purusing the case for further evaluation. Based on these pointers cytologically negative cases can be taken up for biopsy.
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References
Sharma SK, Mohan A (2003) Tuberculosis, 2nd edn. Jaypee Brothers Medical Publishers, India, pp 1–6
Sharma SK, Mohan A (2004) Extrapulmonary tuberculosis. Indian J Med Res 120(4):316–353
Global Tuberculosis Control (2014) WHO, Geneva. www.who.int/tb/publications/global_report/. Accessed 13 Sept 2015
Kumar A (2001) Lymph node tuberculosis. In: Sharma SK, Mohan A (eds) Tuberculosis. Jaypee Brothers Medical Publishers, New Delhi, pp 273–284
Appling D, Miller HR (1981) Mycobacterial cervical lymphadenopathy: 1981 update. Laryngoscope 91:1259–1266
Thompson MM, Underwood MJ, Sayers RD, Dookeran KA, Bell PRF (1992) Peripheral tuberculous lymphadenopathy: a review of 67 cases. Br J Surg 79:763–764
Jha BC et al (2001) Cervical tuberculosis lymphadenopathy: changing clinical pattern and concepts in management. Postgrad Med J 77:185–187
Iqbal M et al (2010) Frequency of tuberculosis in cervical lyphedenopathy. J Surg Pak 15(2):107–109
Dandapat MC, Mishra BM, Dash SP, Kar PK (1990) Peripheral lymph node tuberculosis: a review of 80 cases. Br J Surg 77:911–912
Subrahmanyam M (1993) Role of surgery and chemotherapy for peripheral lymph node tuberculosis. Br J Surg 8:1547–1548
Jawahar MS, Sivasubramaniam S, Vijayan VK, Ramakrishnan CV, Paramasivan CN, Selvakumar V et al (1990) Short-course chemotherapy for tuberculous lymphadenitis in children. BMJ 301:359–362
Chen YM, Lee PY, Su WJ, Perng RP (1992) Lymph node tuberculosis: 7-year experience in Veterans General Hospital, Taipei, Taiwan. Tuber Lung Dis 73:368–371
Fain O, Lortholary O, Djouab M, Amoura I, Bainet P, Beaudreuil J et al (1999) Lymph node tuberculosis in the suburbs of Paris: 59 cases in adults not infected by the human immunodeficiency virus. Int J Tuberc Lung Dis 3:162–165
Egeli E et al (2003) Epiglottic tuberculosis in a patient treated with steroid for addison’s disease. Tohoku J Exp Med 20:119–125
Rout MR, Moharana PR (2012) Tuberculosis of larynx: a case report. Indian J Tuberc 59:231–234
Ramam M (2001) Cutaneous tuberculosis. In: Sharma SK, Mohan A (eds) Tuberculosis. Jaypee Brothers Medical Publishers, New Delhi, pp 261–271
Mammen A, Thambiah AS (1973) Tuberculosis of the skin. Indian J Dermatol Venereol 39:153–159
Pandhi RK, Bedi TR, Kanwar AJ, Bhutani LK (1977) Cutaneous tuberculosis: a clinical and investigative study. Indian J Dermatol 22:99–107
Ramesh V, Misra RS, Jain RK (1986) Secondary tuberculosis of the skin, clinical features and problems in laboratory diagnosis. Int J Dermatol 26:578–581
Kumar B, Muralidhar S (1999) Cutaneous tuberculosis: a twenty-year prospective study. Int J Tuberc Lung Dis 3:494–500
Dublin LI (2015) Vital statistics. Am J Public Health. http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.17.3.280. Accessed 17 Sept 2015
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There is no funding involved. All the investigations required for the study were done free of cost in our institution.
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Both the authors declare that there is no conflict of interest in the present study.
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All procedures performed involving human participants were in accordance with the ethical standards of the institution.
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Informed consent was obtained from all individual participants included in the study.
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Yashveer, J.K., Kirti, Y.K. Presentations and Challenges in Tuberculosis of Head and Neck Region. Indian J Otolaryngol Head Neck Surg 68, 270–274 (2016). https://doi.org/10.1007/s12070-015-0923-7
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DOI: https://doi.org/10.1007/s12070-015-0923-7