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Case Reports
. 2018 Sep 23;2018:bcr2017223634.
doi: 10.1136/bcr-2017-223634.

Primary Tonsillar Tuberculosis

Free PMC article
Case Reports

Primary Tonsillar Tuberculosis

Swetha Sasikumar et al. BMJ Case Rep. .
Free PMC article


Upper aerodigestive tract involvement with tuberculosis is relatively rare and may be seen in up to 2% of patients with pulmonary tuberculosis. Isolated tonsil involvement with tuberculosis is not commonly seen in clinical practice. We report a case of a 22-year-old postpartum mother who presented with odynophagia, fever, loss of weight and submandibular swelling of 3 months' duration. Clinical examination revealed a submandibular node, and oropharyngeal examination revealed necrotic slough overlying an enlarged left tonsil. Fine-needle aspiration cytology of the node and histopathological examination of the left tonsillectomy specimen revealed necrotising epithelioid cell granulomas, and stain for acid-fast bacilli was positive in the latter. She was diagnosed with tonsillar tuberculosis and was started on antituberculous treatment following which she improved clinically. This case serves to demonstrate an uncommon presentation of primary tuberculosis and reminds us to consider tuberculosis also as a microbiological aetiology for tonsillitis.

Keywords: Tb and other respiratory infections; mouth; otolaryngology / ent; tuberculosis.

Conflict of interest statement

Competing interests: None declared.

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