Tonsillar Tuberculosis Associated with Pulmonary and Laryngeal Foci

Koji YAMAMOTO; Fumihiro IWATA; Atsushi NAKAMURA; Yasuhito IWASHIMA; Tomokatsu MIYAKI; Hisashi YAMADA; Miyuki KURACHI; Yasumasa SATO; Katsuhiko TSUKADA; Toshihiko TAKEUCHI; Takashi JOH; Yoshifumi YOKOYAMA; Makoto ITOH

doi:10.2169/internalmedicine.41.664

Koji YAMAMOTO, Fumihiro IWATA, Atsushi NAKAMURA, Yasuhito IWASHIMA, Tomokatsu MIYAKI, Hisashi YAMADA, Miyuki KURACHI, Yasumasa SATO, Katsuhiko TSUKADA, Toshihiko TAKEUCHI, Takashi JOH, Yoshifumi YOKOYAMA, Makoto ITOH

Author information

Koji YAMAMOTO
The Department of Internal Medicine, NTT West Tokai Hospital
Fumihiro IWATA
The Department of Internal Medicine, NTT West Tokai Hospital
Atsushi NAKAMURA
The First Department of Internal Medicine, Nagoya City University School of Medicine
Yasuhito IWASHIMA
The Department of Internal Medicine, NTT West Tokai Hospital
Tomokatsu MIYAKI
The Department of Internal Medicine, NTT West Tokai Hospital
Hisashi YAMADA
The Department of Internal Medicine, NTT West Tokai Hospital
Miyuki KURACHI
The Department of Internal Medicine, NTT West Tokai Hospital
Yasumasa SATO
The Department of Internal Medicine, NTT West Tokai Hospital
Katsuhiko TSUKADA
The Department of Internal Medicine, NTT West Tokai Hospital
Toshihiko TAKEUCHI
The Department of Internal Medicine, NTT West Tokai Hospital
Takashi JOH
The First Department of Internal Medicine, Nagoya City University School of Medicine
Yoshifumi YOKOYAMA
The First Department of Internal Medicine, Nagoya City University School of Medicine
Makoto ITOH
The First Department of Internal Medicine, Nagoya City University School of Medicine

Keywords: chest computed tomography, laryngoscopy, acidfast bacilli, antituberculous agents

JOURNAL FREE ACCESS

2002 Volume 41 Issue 8 Pages 664-666

DOI https://doi.org/10.2169/internalmedicine.41.664

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Abstract

Tonsillar tuberculosis is one of the uncommon forms of extrapulmonary tuberculosis. We report a case of tonsillar tuberculosis associated with pulmonary and laryngeal foci. A 23-year-old female was admitted for evaluation of hoarseness and difficulty in swallowing. Bilateral palatine tonsils were enlarged, and a tonsillectomy was performed. Since a histological study revealed tonsillar tuberculosis, antituberculous agents were administered. After the treatment the pulmonary lesions detected with chest computed tomography were improved, and her symptoms were relieved. The possibility of tonsillar tuberculosis should be considered when unexplained enlarged tonsil is observed in patients with pulmonary tuberculosis.
(Internal Medicine 41: 664-666, 2002)

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