medigraphic.com
Anales de Otorrinolaringología Mexicana

2021, Number 4

<< Back Next >>

Otorrinolaringología 2021; 66 (4)

Head and neck manifestations of tuberculosis

Marvin-Huergo MEL, López-Garza NS, Dávalos-Fuentes MS

Language: Spanish
References: 15
Page: 321-329
PDF size: 213.62 Kb.


ABSTRACT

Objective: To describe the clinical, radiological and microbiological behavior of tuberculosis infection of the head and neck, in order to achieve an earlier diagnosis and prompt treatment.
Materials and Methods: A descriptive, retrospective, cross-sectional study that reviewed clinical charts of all patients with diagnosis of head and neck tuberculosis in a third level hospital in Mexico City from 2014 to 2019. Demographics, clinical presentation, diagnostic methods, imaging studies and outcomes were described.
Results: There were 14 cases, with a predominance of female patients. In order of frequency, the sites involved were cervical lymph nodes, ear, larynx and skull base, only three cases had concurrent pulmonary tuberculosis. Diagnosis was confirmed with culture or pathology results. Twelve patients had a successful response to treatment, one is still ongoing and one lost follow-up, surgical treatment was indicated in only two patients.
Conclusions: Tuberculosis infection in head and neck has variable and unspecific manifestations, classically described signs and symptoms are very rare. Therefore, diagnosis is a challenge for clinicians specially when there is an associated HIV infection. Head and neck surgeons must keep in mind tuberculosis as a differential diagnosis in order to achieve early diagnosis and treatment.


REFERENCES

  1. World Health Organzation. Global tuberculosis report 2019 [Internet]. Geneva; 2019 [cited 2020 Jan 10]. Available from: https://apps.who.int/iris/bitstream/hand le/10665/329368/9789241565714-eng.pdf?ua=1

  2. Pang P, Duan W, Liu S, Bai S, Ma Y, Li R, et al. Clinical study of tuberculosis in the head and neck region - 11 years’ experience and a review of the literature. Emerging Microbes Infections 2018; 7 (1): 4. doi: 10.1038 / s41426-017-0008-7.

  3. Qian X, Albers AE, Nguyen DTM, Dong Y, Zhang Y, Schreiber F, et al. Head and neck tuberculosis: Literature review and meta-analysis. Tuberculosis 2019; 116: S78-88. doi: 10.1016/j.tube.2019.04.014.

  4. Chiesa-Estomba CM, Betances-Reinoso FA, Rivera-Schmitz T, Ossa-Echeverri CC, González-Cortés MJ, Santidrian-Hidalgo C. Tuberculosis de cabeza y cuello: Estudio retrospectivo de 6 años. Acta Otorrinolaringol Esp 2016; 67 (1): 9-14. DOI: 10.1016/j.otorri.2014.11.003.

  5. Das S, Das D, Bhuyan UT, Saikia N. Head and neck tuberculosis: Scenario in a tertiary care hospital of North Eastern India. J Clin Diagn Res 2016; 10 (1): MC04-7. doi: 10.7860/ JCDR/2016/17171.7076.

  6. Monga S, Malik JN, Jan S, Bahadur S, Jetley S, Kaur H. Clinical study of extrapulmonary head and neck tuberculosis in an urban setting. Acta Otorhinolaryngol Ital 2017; 37 (6): 493-9. doi: 10.14639/0392-100X-1252.

  7. Lewinsohn DM, Leonard MK, Lobue PA, Cohn DL, Daley CL, Desmond E, et al. Official American Thoracic Society/ Infectious Diseases Society of America/Centers for Disease Control and Prevention Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children. Vol. 64, Clinical Infectious Diseases. Oxford University Press; 2017: e1-33.

  8. Valero MR, Escobar GAB, Ventura BC, Sánchez FG, Olvera SIG, Calleros HMP, et al. Manifestaciones de micobacterias en cabeza y cuello: revisión de 10 años. An médicos Asoc Mex ABC 2014; 59 (2): 104-110.

  9. Yashveer JK, Kirti YK. Presentations and challenges in tuberculosis of head and neck region. Indian J Otolaryngol Head Neck Surg 2016; 68 (3): 270-4. doi: 10.1007/s12070- 015-0923-7.

  10. Paredes WA. Tuberculosis en Otorrinolaringología. Rev otorrinolaringol Cir Cab-Cuello 2001; 61: 87-94.

  11. El-Wajeh YAM, Watson MG, Igoumenakis D, Stathopoulos P. Tuberculosis: the great imitator in the head and neck - our experience of 24 cases in 22 years. Br J Oral Maxillofac Surg 2018; 56 (3): 168-72. doi: 10.1016/j.bjoms.2017.12.016.

  12. Qian X, Nguyen DT, Albers AE, Dong Y, Lyu J, Meng QH, et al. An eight-year epidemiologic study of head and neck tuberculosis in Texas, USA. Tuberculosis. 2019; 116: S71-7. https://doi.org/10.1016/j.tube.2019.04.013.

  13. Richardus RA, Jansen JC, Steens SCA, Arend SM. Two immigrants with tuberculosis of the ear, nose, and throat region with skull base and cranial nerve involvement. Case Rep Med. 2011; 2011: 675807. doi: 10.1155/2011/675807.

  14. Verma H, Panda S, Sikka K, Irugu DVK, Thakar A. Primary spheno-petro-clival tuberculosis. Indian J Otolaryngol Head Neck Surg 2019; 71: 1796-9. doi: 10.1007/s12070-017-1159-5.

  15. Nahid P, Dorman SE, Alipanah N, Barry PM, Brozek JL, Cattamanchi A, et al. Official American Thoracic Society/ Centers for Disease Control and Prevention/Infectious Diseases Society of America Clinical Practice Guidelines: Treatment of Drug-Susceptible Tuberculosis. Clin Infect Dis 2016. DOI: 10.1093/cid/ciw376.




2020     |     www.medigraphic.com